Meter Swap �
� Request Number: 11607
Public Works Division
Service Request
Problem Address: 4543 2nd St Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number:
Scheduled Date: 2016-06-24 Scheduled'I9me:
ACTION NEEDED:
Cr by: Wendy Hiatt Date Created: 2016-06-23
ON TAI�N:
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by:
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+ ' � - City�f Fridiey
- . . - V►lai�r��partenent _ . _� . �.�.
�4�1 Univ�rsi�y Avenue NE
Feidley,MN 55432
[7b3�572-3566
�Jwe hereby autharize���1►'���'idfey andjar its
employee�#o do what�s nscessary ta replaca the water meter, (understand that the praperty awner
is tiabte fer the water{ine from the main ta the premise and a�a��r�or pium6ing. (Fer i�ty code
402.Q6) l.alsa hs�1d the�City of�r�dtey andrt�ennployees harn� �r any amages t a may+�s �
w!u'►e doing this Qperation. �'f�is�include,buf n�t limited to;ualves,p'tping,walls,filoors or the curb
stap 6ax and servir.�line. t understand 9 am afso required to ahta�n�p��rt p�°�t°�ny w°rk'�f
- necessary.
�nal meter reading�old meter) .
L ��'� 3 ��� s� .
Name• Address:, —1
Rhane Number: Da#e• Co/�4 �/l.�— -
5igna#ure:
Wiiness Signature:
�RIQLEY CtTY C�DE
CEi�iF"1fER 4Q2.WATEI�,57DRM WATEi�,AND�!lTARY 5EW�R
A�DMIN[STRATIC1fl1
(Re�Ord Ma 113,454,565;556,6�9,638,56Z,922,988,1i44,1156,�.191}
402.05.PERM6'i'F�E �
Priur to canstructing or repair�f any water ar sewer line connectingthe existing municipal sys�em and any house
or building for which the appiicafion is made,the QWner°r c°��°r shali be required to obtain a permi�for sucf►
canrrectiarrr and shai!pay a permif fiee as prauided in Cf�apter 3.1 ofid�is Cade. After such cannectian bas been
made,the 1Nater and Sewer Department sha11 be nati#ied. It sha(16e unlawFul to caver any connecting fine until an
inspection has 6een made and su�h connection and the woric inclde�thereto has 6een appraved by the City as a
prnperand s�itable connection.
�02,08.i�EPAtRS Alitt�MAINTENAlVCE T�?��3N�IEG71QI�1
-A#�tk►�-ipitia,���,�,� :',�`--`'_""""'�n+�the water service curhstoa box ar the sewer lead at the prqpert�
line or a water senrice or sewer lead has�een extended t�the proper�y line#or cnnnection,the appl�cant,owner,
or the occupa�t ur user af such premises sha11 be ii�bie for al(�epalrs required to eny waker iine 2nd sewer lines
necessary for connectian af the prernises from the m�in ta the premise�. If the prope�ty ovuner requests
rnaintenance senrice�r repairs h$performed bY the CitY,the pruperty owner shall be�harged far the costs of the
. maintenance and/ar repairs, 9nciuding any nece�sary street repairs,at a rate set annuallyby.an admin9strative
policy. it shail be the responsi6ifitY afthe aPPlicantj awner,occupantor user to perf�rm standard rnaintenance of
� the sewer service Gne frasn the premisas tct#he main inctuding dehris clearing flr raot cutting and to maintain�e
water serUic�cur6�top hox for operability and afi such height as w�i ensure that it remains abave the finisfied .
<„�ci"e of��ri�fiand vr-pr�p�iy.�{�t�6�,�.9:55,.�,�9�:i _. ._ _ ._._ ._.- �, ..._ .:.._ .-.� . _.__ .:..� :_.�.