Meter Swap .
Request Number: 11624
Public Works Division
Service Request
Problem Address: 4527 2 1/2 St Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number:
Scheduled Date: 2016-06-24 ,w•� Scheduled'ISme:
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2016-06-23
ACTION TAKEN:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
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• - �i�.yy�f Fridiey
- . - • V�latpc Department . .. _, .�..
64�1 University Avenue NE
Fr6d9ey,MN 55432
(763}572-3565
!/we bereby autharize th��tY af Frid(ey and/or its
employees to do wh�t A necessavy ta replace t6e water meter. t vn��nd that the proFertlf Qwner
Js.1ia61�_for the water tine from the main to the pr�mise and aN int�riur piamhing. (Per City code
- 402.�6) I.als�h�ld the City nf Fridtey and jits emptoyees harmless or any amages �a tr�y -
arhile doing this operation. This to indudet bu�not limited to;ua{�es,piping,�►ftoors or th�e cwb
sto�bax and service 1➢ne. I nnder�tand f am aiso required to abtain a Perrni�P�af�any work�ff
ne�ary,
, Final meter�ading(old meterj D . � ,
Name• Address•
�I S a� a a 5 #
Rhone 1Vumber• [fa#e� ���-��G-r-�' -
5ignaEure: � '�
Wi#ness Signaivre;
fEt1DLEY CITY�ODE
CHA�"�ER��Z.W��'ERP STDRM WATFR,A(V�3APtITARY SEWER
�A�MINtS7RATltt�t
�Re#Ord�l0133,454,565;566,5Z9,638,562,922,988,1�.44,1156,1191)
40�.Oa.PERMIT FEE � .
Prior to canstructing r�r repair af any water ar sewer line connectingthe exis�ing municipal sys�em and any hause
or buiiding f�r which the appiicafion is made,the awner ar cantractor shall be required to obfiain a permfitfor such
canrtectian,and shail pay a permi�fiee as pravided in Chapter 11 of this Cade. After such connection bas heen
made,the vVater and Sewer Departmeat shail he nfltifted. tt sha(t 6e vnlawFul fa caver any connecking Gne un#il an
inspection has 6eer�made and su�h connecCion and the vuflrk incide�theretti has heen appraved by the Gty as a
properand su'ttable cannection.
40�2.06.P,EA/41R5 Al��31�IA11VTESVVAl�ICE TU CO(�t�lECi7QE1
-P�-�r.��e-ipitia • -�__�_...,�„aa+�+he water service curhstao 6axQrthe 5ewer lead atthe propert�.
li�e tir a water service or sewer lead has heen extended ta the propertyline#or cannectionT the applic�ant,owner,
ar the occupa�nt or user�f such premises sha11 be li�bie for a!(repahs required i-o any water tine and sewe�fines
necessary for cnnnection af the premises from the main ta the premises, if the propecty owner requests
rnaintenance service or repairs he performed bY the CitY,the Pruperky owner shail be charged far tt►e co�ts of the
. maintenance and/ar repairs, inciuding any neces�ary street repairs,at a rate set annual(yby.an administra�ve
poiicy. !t shall be the responsihility�ofthe�PP��cant,owner,occupant�r user ta perfarm�tandard maintenance nf
• the sewer service fine fram the prernises to the main inciuding de6r�clearing or caot cutting and to mairitaia the
water�ervice curh stop hox#ar operability and at such height as wi�ensure that it remains above the finished
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