Meter Swap ` Request Number: 11598
Public Works Division
Service Request
Problem Address: � 4528 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:
..........._�!--�....��"�.�__�—_._.._..._t..:�......�-�......_�:��..�..._.._......._..............................................M_._____.._....___....._...._......................................_.___ f
........._�.�..._:.2�.!_�C�....:.-..................................._�.6.._a,_$_�_�..`....'___.._.............................
��.� -- ��;y �a�g�Q�
...___._..�,�........�............................_........................................................................................................................_�.::��..:�...........::.....:...........:._._..�._................_.__...._._........._.._......______..._.._....___.._...._..._........
� �d N� �
,� �-���6 — �
_............................... .............................................................._....................._.._._.�......�......................................................................................_�...........�,.........._........_._._..._.............................................................___......__................
�;�" �- b� � � o�� c�
...............................................................................................................................................................................................................................___.._..._. ..................................................................._._..__....._..__..._.....
..............�..............................._.
Status: In Progress Snbmitter Has Been C,
Contacted
y J
Date Completed: Completed by:
� y_ ��
� � �b
{
,. ' � �ity of Fridley
- _ � i1la#Pr�epartment _ _� �.�_
64�1 Univ+ersity Auenu�NE
�s�d(ey,1V�N 554'�2
{763�572-3565
I/we hereby auth�rtxe#he�rt11+�Fridiey and/t�r its
emplvye�s��do wh�t i5 necessaay to reptace the water rmater, (underst�and that the propert�l awner
is iia�(�far tha water(ine fram tfie mai�t�the premise and afl ini�rior p4urnlain�.{Fer Cify cade
4U2.�fi) t.als�huld fihe�ty uf�ridiey and f it:s empioyees 1har�nf�ssf+�r any damag�s rnai may �a+"
w(u'le dosng it�is operat��tn. '6his tc�indude,hut nmt Gmited ta;ual+re�,PtPi�,���oers ar the curb
stop bux and service line� t u�derstand t am atso required#o abtain a perrnit priar t+o any wurt4 if
n�cessary,
- 3 62�� 6�
Finai m�ter readtng joBd meterj .
Name•
Address• 'i �J $ �-�--_ �� .
Phoae Number; --'
r
Signaivre: ,� .
Witrress 5igr�ature�: �
FR1DtEY�ITI CC1DE
�H�PTER 4t1Z.WATEi�,5T�1�tM WA'f�R,ANO SA,NCTAE�I SEWE(�
AtiM(NtSTRATlttN
�Ref�rd�to 113,464,565;556,��9,638,56Zf 922,488,1�.44,1156,1191�
4�2.t15.P�RMIT fEE �
Priar tfl canstruc�ing��repalr af any vuater or sewer IinE connectingthe exis�ing municipal system and any house
or building f�r which�he applica�on is made,�he awner ar cantrac�or�hat)be reqoire�to obtain a permi�for such
canrrectianr and shall pay a permit fee as provided in Ci�apte�13 of this Cad�. A�ter such cnnnectian f�as been
made,ifie Water and Sewer Department shali be natiflect. 1t�heii he unlawful ta cave�any cannecting Cne un#i!an
inspeetion has beert made and suth cannection and t6e wark incide�rt thereta has heen apprflved by the Gty as a
praperand suttabie cannecti4n.
�4�2.0�,iiEFA1Ks AttitD IUTAlN3ENANC�TO C�N�lECTIdJN
�,g��jpj�a rnnnariinrt h c hp�n rna[i¢+^�he water ssrv'sce cur6 stop box nrthe s�wer(ead at the propect�
line or a wafier service or sewer fead has been extend$d tfl the property line#ar cannecttan,the appticatit,owner,
or the a�cupant or user of such premises shall be itahie for all repal�required�a at�y�rater iine and sewer lines
ne�essary for cannection of the premises from the main ta the premises. Ifi the prope[ty owner tequests
mainte�nance senrice�r repairs 6e pe�forme�by the City,the PrflP�.Y flwner shaii be�►arged far the costs of the
. maintenance andJnr repairs, induding any neces�ary stre�t repairs,at a rate s�t annual{y by.an adm9nistrafJve
paticy. tt shali be the responsiGiiity ofthe appiisant,owner,occupantor user tn per�asm standard ma9n#ena�tce ofi
• the s�wer servic�rne from the premises tu#�e ma9n inctud+ng dehr�clearing or root cutting and Co mamfalri the
� water servic�cur6�top hox far aperability aad at euch height as will ensure that it rernains abave t�e fin�hed '
:.,�,ac�e of�t'r7�tar�d gr-pr���.y.�{�i�6 a.�.y55,-�-`�1� _. __ _ ..._ .... - _ _ .:.._ . ... . : _:..� . _.