Meter Swap l
Request Number: 11625
Public Works Division
Service Request
Problem Address: 4515 2 1/2 St Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number:
Scheduled Date: 2016-06-24 Scheduled 15me:
ACTION NEEDED:
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Created by: Wendy Hiatt Date Created: 2016-06-23 �''������
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ACTION TAI�N: �,:
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Status: In Progress Submitter Has Been C,
Contacted
Date Completed: Completed by:
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" - Ci�y flf F�idley
- . _,.., IAJat�r��partn7en�
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�4�1 Uni�ersi#y Avenue NE
frid(�y,fVfN 55432
(763�572-356fi
i/we bereby authQrize d�e�tY of Fridley andjar its
emp6flyees to do w6at is necessary to repta�e t[�e water meter, l oru�erstand tt►at the praperty awaer
_i�liahl�fc�r the water(ine from the main tn the premise and all ir�teriur piurnbing. (Per City code
402,�u6) t.als+�fiold the C�ly of�ridtey and jits empluyees tsarmless Qr any amages t a may�c "
while doing this aperativn. This t�indud�,bu�not fimited to;uat+r�►P�P���•�alls,floors or the curb
st�a�bax and service line. i understand 1 arn aisa requ9red to abtain a permit prior t+�any wvrk�if
necessary,
_ 69na1 sneter reading�old meter} � �� —1 1S,t/�--- �
Name: Address: � 5 � � � ��' S � .
Rh�ae 1Vu[nber; Date� .
5i ttature' � S""'—
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1N'rtness 5ignature•
�RIDLEY CITY CODE
C�Il�P1�ER 40Z.W�R'TEH,Sf�Rttl�i WATER,A(�U SANITAi�Y SEWER
AaMtNISTRA71Ct�1
(Re#Ord No 113,464,555;55fi,GZ9,638,662,92�,988,1144,1155,7.191�
40�.05.PE4iMi�`FE� �
Frior to canstructing or sepair�f any water ar sewer line cQnnecfin8the existing municipal sys�em and any hause
or 6uilding f�r which the application is made,the awner Qr ca�frac�r shall be required to obtain a petmit for such
conrrectiar�,and shall pay a permrt fiee as P+'°u�dQd�r�Ci�apfer 7.1 afthis Code. After such cannec�ian t�as been
made,#he 1�later and Sewer Department shall be nati#9ed. ►t shalt te unlawful to caver any cor�nect'sng P�ne until an
in�pection has been made and such cannecCibn and�the work incident thereta has been appraved by the Gty as a
properand s�'�table cannecti�n.
4di�,08.REPAIRS AltttD�MAINTElYA�VCE TO�ONNECTIIIN
-A��r�#b�-ipi#iai-c . , __�_ea�,,.ta+�,thP W8�@t'S�iViC2 CUtIf 5CQ0 I}Q}(QI'CI12 52W81'I28{I 8t tIl£jJf0�Y2[f�
line or a wai-er service or sewer lead has been extended to the Propertyline#ar connechan,#he appf�cant,owner,
or the�ccupant or user af such prem�ses sha{t be liebie fur al(fepahs required to erry water line and sewei'lines
ne�essary for connectian of the prernises from the main#o the pr�ises, if the prope�ly owner requests
rnaintenance service ar repairs he perForme�by t6e City,the PrnperlY awner shail be ct►arged fiar the r�ts of the
. maintenance and/ot repairs, inciuding any neces�ary street repairs,at a rate set annuallyby.an administrative
palicy. It shall bethe responsi6ility ofthe appii�ant,awnerl occupantor usertn perform standard maintenance of
• the sewer 5eruice Gne fram the Arem�ses t°�he main including de6ris clearing or raot cutting and to mairifairi the
water servic�cur6 s�ap hox for opera61ity and st suth height as w�l ensure that it remains abnve the finished
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