Meter Swap r Request Number: 11606
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Public Works Division
Service Request
Problem Address: 4555 2nd St Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number:
Scheduled Date: 2016-06-24 Scheduled Time:
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2016-06-23
ACTION TAI�N:
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Status: In Progress Submitter Has Been r,
Contacted
Date Completed: Comp(eted by:
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. - City flf Fridiey
- _ tnla��r D�partanent . __ ,�._
6AS1 Univ�rsi#y Avenue N�
Fridiey,MI� 55432
(763}572-3566
Ijvue hereby autbQriie#he��9i of Fridiey and/or its
empfvyees ta do wha��ne�tessary to replace the wat�r meter, t u��n'����t��F��°�er
Is liahle for the�nrater line from the main to the premise and a!)ir�erinr plam)aing. (Per C�ty cade
442.Q6) i.atso hold the�'ity�f Fridtey and f i�s�r�piay��s ha� or a�y amaBes ma nsc �
while d,oing this aperatiioro. ?his to indudep bu�n�t lienited#�;ualYes,piping,uaails,floors or the�arb
sta�box and service line. t��der�tand 1 am atsa rQqu4red to al�ai��Perrnit�rrior t+�anq wvrk�if
necessary,
. �ina[meter a�eading(old meter) � ,
Name:
Address: � s S,� d`►`�'` `�� .
Rhone Tiumber: 13ate��_/Il_-�—.--
Signa#ure=
Witness 5ignature•
fRii�LEY G13Y�C�iDE
+CH��'EEl�0�<WA7'Ear 5T�3R4VI WI�TER�AND 3A1�111'ARY SEWEii
�I�MINlS'�iiA'ClCt141
�Ref tlyd Na�.13,454�565;566,6Z9,638,b62,922,9&8,1144,1156,1.191}
4i1Z.05.PE�1i�IIT�EE �
Priar ta canstructing c�r repair af any water ar sewer line cc�nnectingthe existing snunicipa!systQm and any house
or building fr�r which the application is made,the owner or contracmrshall be required to abtain a petmi�for such
conrtectiar�,and sha!!pay a germ�t fee as pTavided rn ChaPter 3,3 af this Cade. A#ter such cannection 6as been
made,the 1�tater and Sewer Departrnent shail be nfltified. It sha(t 6e untawFul to caver any connecting fine unfil an
inspection has been made and such cannecCion and the work incidertt thereto has ioeen approved by ifie C�ty as z
praperand suita6le�or�nectic�n.
40�.06.REP�IR5 A(t�D MAINTE�►IANCE TO��N�tECi'IQN
-Ar�€f'-��1�11�t��..C+D[!� • L___,.,
,�,,,��ss,«.r,����ad�tQ the water sen+ice cu�h sto�bnx nr the sewer lead at tE�e prape►t'
line or e water servi�e�r�ewer lead has heen ex�ended to the properlyline#ar cannechon,the appllcan�,awner,
or the�ccupanfi or user of�uch premises Sha{I be liable far al(�epaks required to erry water(ine and sewer�ines
necessary for cnnnection of the prernises from the main ta the premises, ff the propeCky owner requests
maintenanc�service�r repairs h�p��formed 6y t1�e City,the PruPerlY m+i+ner shall be tharged far the r.nsts of the
. maintenance andJor repairs, fi�fuding any necessarY street rePai�s,at a rate set annual(y by.an administrattve
policy. 1t shall be the responsihility oft�e applicantr owner,nccupantor user to perForm 5tandard rna9ntenance af
� the sewrer 5ervice Gne from the Fremises ta�e main inctud'+ng dehri�clearing flr�aot cutting and Ca malntairi the
water ser�rice cur6 stop 6ox for operability and at satf�height as will ensure that it remains abave tfie finished
-,:gracf"e of t�i�tard ar-prc��ti.y.�{R�t 6�5,�.�5,.t39�:� _. _ . � ~. .. . .