Meter Swap Request Number: 11597
Put�ic Works Division
Service Request
Problem Address: 4532 2nd St Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number:
Scheduled Date: 2016-06-24 5cheduled 1ime:
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2016-06-23
ACTION TAKEN:
........C�.�........����_�.................._a�_.�..�.._6���._..__...._.__._._........................__................._,_.....................__...............__._
_.........�..t-..`�,�...........�...�.........`�....�........�_�6........�.............................................._�...�_......�-....�....._�.._�...........................__......_.._..........__._................__.....__...__.__.�.�..._____._..........
.............��......_c� �..�:.�.._..........._��_�-�.�.a...._�..:�q.�..........:...........................__...._._........................................................................_.....................................__
_............_.....N....._�......_:�.�..��......._� .....................................................................................................:
.................................._..:_..........._.._...._..............................................._................................W........
�
....................�sz.-..._�.........�:......_�..-..................._C�.`��."...?........_`��.�....�............................................................................................................................_.._..........................................
Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by:
�r�� ���
� City�f Fridiey
- . -..., inla��r��pa�tsyaent
_
64�1 Univ�rs6#y Avenu�N� �
�ridtey,MI� 5543Z
(763)572-356fi
(jwe hereby authQrize the City of F�id9ey andJor its
ernployee�t�do w6at'is necessary ta r�place the water meter. l u�derstand tfiat the property owner
—is tiabie for the water Iine fram the mair�ta the pr�mise and afl int�riar plumbing. (Per I�ty cade
40Z.0�) I.als+�hnld fihe+C�ty of F�idtey and jits employees harml�ssfar any amag+� �a may�r�
while doing this operad�rn. i'hi�to indude,bu�not limited t+�uaHres►P�Pin�•�r floors or the curb
�top bax and service line. 1 underscand 6 am ats+�eequ9red ta ohtain a Perrnit prior t�a any�rork►if
n+e+cessary,
�tnal m�ter reading(o!d meter� �� � .
Name• Aadress: �S 3
a a�.d 5�- �
Rh�ae 1Vum r: Date:_,�����
7
1 ,
Signa#�are:
1Ni#ness 5 re•
�RlDLEY CITI(CODE
CH��fE4t 4i]Z=W,4TER,5T�3RM WATER,A(dD�dITARY SEWER
A►DMINtS7RA1'DU�1
(Ref C�rd NQ 113,454,555;556,6Z9,538,56�,922,988,1144,�156,1191j
4t►�.05.RERMIT FEE -
Priar to cans#ructing or repair of any water or sewer lina cflnnectingthe existing municipal system and any ftause
or bu'slding fos which the appCcation i�made,the awner or�ffrrtrac�r shall be required to obfiain a permi�for such
canrtectiant and shall pay a germit fee as pravided in Chapter 23 ofithis Cade. Atter such connection 6as been
made,#he tAta#er and Sewer Department shall be natified. !t sha(!6e unPawful ta caver any cannecking Gne antil an
inspeetion has been made and such cannec�ion and the work incide�thereta has heen approved by the Gty as a
proper and s�rta6le connectian.
40�.08.f�EPs�IRS A[+I�MAINTE�IANCE 74 C�N�1�CilON
�.���iA�� • -t---G^^^�,�.ab+�,fhe waterservice curhstao box arthe sewer Iead atthe prapetf".
line or a water service ar sewer)ead has�een extended to the property line for cannection,#he applia�,awner,
ar the oecupant or user ofi such prem►ses shall be tiable for ali�epairs required to any water line and sewer line.�
necessary for connectian ot t6e prernises from the main ta the premises, tf the propetiy awner requests
rnainfien�nce service ar repairs��performed by the Gty,#he prop�owner shail be rharged for the msts of the
. maintenance and/�r repairs, induding any necessary s�reet repairs,at a rate set annuaily hy an adminish�tive
poficy, it shai{bethe responsihility ofthe applicant,owner,occupantar usertn pe�farm standard rnaintenance af
� the sewer service line from the premises�the main fnctuding de6�s ciearing or raot cutting and to mairitairi the
water$ervice curh�top box for aperabilitY and at auch height as will ensure that it remains abnve the finished _ _
:,,gracte of�i��tarrd vr-�rup��iy.-(��+638,�.�5,-t�9�:� _. _ . _ . .. . � --