Meter Swap .
' Request Number: 13248
Public works Division
Service Request
Problem Address: 1345 Meadowmoor Dr Requested By: Mr Duffy
Ikpartme�t: WATER Addresa: No address�ovided
ProWemllas�: INSTAL,L AMR ME'IER Phoce Number: 952-836-8094
Sc�eduled Date: 2017-02- 7 �, Scheduled Ttme: 11:30:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-02-03
ACTION TAt�N:
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D�ete Completed: ���.� ! � Comp[eted by:�r��
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p/�°� hereb euthorize the�' a'f Fetid! �
Y rty ey and/or its empioyees to aio what ds necessary
re�alece the water mete�. I unclerstand that the q�ropea�ty owner as liable for the water line f,rom the main to the premise and ali iriterior
plumbing. {Per Crty�ode�02.06; i also hold the C'�ty�f�e�idiey and/'rts employees harmless for any�lamages that may occur rrhiie doing th
opee aYion. This#a�nctude,but not limited io valves,pipin�waiis,floors or ti�ee curb stop�ox and service line. In undecstand I am also req+
to obtain a permifi prio�r to any�ror4c,if necessary.
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�tame: 1" �r 1 L_ �dress 13 '--15 '��,e0��V1.0 a✓� bh,
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Phone tYumber_1 v�� �J vJ' �Q 1� Date � � 6 — I�
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Signature Witness Signaturt
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FEitDLEY CiIY C�DE
Ct#APTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAT{ON
(Ref Ord No 113,4&4,565,566,529,638,662,922,988,1144,1155,i191j
4Q2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer rne connecting the existing municipa(system and arry i�ouse or buiiding for wf�ich the "
application is made,the owner or cor�tractor shatl be required to obtain a permit for such connection,and shaU pay a permii fee as proyided i
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Oepartmerrt shall be na�tirfied. tt shall be unfawfui to crn
any connecting line until an inspection has been made and such connection and the wo�c inaderrt fihereto has been appcoved by the Crty as a
proper and suitable connection.
402.06 REPAlRS AND MAINTENANCE TO CONNEC770N
After the inifiial connectian has been made to t6e water senrice curb stop box or the seuier tead at i�te property iine or a��nrice lead(�a;
been extended to fihe property line for connection,the applicarrt,owner,or accuparrt as user af such premises shafi be iiabie for a11 repairs
required to arry mrater tine and sewer lines necessary#or connection of the premises from#he mai�to the premises. If the property owner
requests mairrtenance senrice or repairs be perFormed by the C'rty,the property owner shatl be charged for ifie costs of the mairitenanc�and/<
repairs,including�ecessary street repairs at a rate set annualty by an administrati�e poliry. �t shat!be t�e responsibil'rty of ifie applicam,
owner,ocsuparrt or user to perfiornn standard mairrtenar�ce of the sewer service line from ihe premises to the main inciuding sleb�.s deartng or
root cafiting and to mairrtain the water service r.urb stop box for operability and at such beight as wili ensure that it remains above fihe finishec
grade af the land or property. {Ref 638,1156,1191)
. Request for Service Report
City of Fridley
Reference No: 601-11-2968 Date: 04I08111
Request Type= Turn waker aFFlon Entered By: Wendy Hiatt
Department: Water Citizen Name: Yang Lee
Address= 1345 MEADOWMOOR DR NE Callback Phone: 612-804-9788
Scheduled Date: 04l08111 3=U0 PM Property Owner:
Locakion Details: Permit#201 1-0041 7 Requesk Details_ Shut water ofFlleaYe key
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Action Taken:
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Responsible Person: _./� ��i'�-
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Approver:
Completion Date: � � Citizen Notified
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