Meter Swap L
` Request Number: 11623
Public Works Division
Service Request
Problem Address: 4539 2 1/2 St Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phoue Number:
SchedWed Date: 2016-06-24 Scheduled'ISme:
ACTION NEEDED:
,� ��`�_.
Created by: Wendy Hiatt Date Created: 2016-06-23
ACTION TAKEN:
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5ubcnitter Has Been
Status: In Progress C1
Contacted {�,
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Date Completed: Completed by:
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. � ` � Cify flf Fridle�
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_ .. Inlat�r�epa�-tenent _ . , �...
64�1 Universi$y Avenue NE
fridley,l4lN 55432
(7fi3)572-3566
I(we herehy authQrixe the City af Fridtey and/or its
empdoye�tce do w6at�necessaey to replace�e water meter, t unslers#and that the prap�rty ownex
i�1ia61e far the water Iine�rom the main ta the premise and a�m�T�ar plum6ing. (Rer Gty cade
402,tl�) l.alsn h�old the�ity of Fr3dlep�ndjits employees harmlrss oe any amages a ma11 �-
wEu1e doing this operat�on. T6is to include,but not limited to,ualy�sr piping,rvalts,fiaurs or the carb
stop bmc and service Ir'ne. t urtder�tand 1 arrr aL�o requ9red to oht�n a Permit prior to any work�if
necessary,
�nal m�ter reading�old meter} . �
�l !-� S � .
Name: Address: �� � �
Phoae 1Vumber� Date� .
��� ;
�igna#ure•(1' .
Witness 5ignature�:
�RiDLEY CITY Ci1DE
CHa#'�iER�tkZ.WA�ER,5�'€3RM WATEtt,ANa�Af�!lTARY S�WER
A►�►M6NiSTRATl�H
(�e#t7rd J��113,454,555;556,fi�9,638,562,922,988,1�.44,1156,1191J
4iJ�.05.PERMIi'FEE �
Privr ta canstruct3ng ar repaic 4f any water or sewer line co�nectingthe aristing municipal system and any house
ar building for which the application is made,tfie awner or cor�rac�ar shall be requi�ed to abtain a permi�for such
conrtectianr and shaii pay a permrt fee as Pfovided in�apter 11 of ihis tbde. After such connection 6as 6een
made,the vVater and Seruer Departmeat shail be notified. It�hall he unlawful to caver any cor►necting�ine unfil an
inspection has been made and such connection and the woric incide�rt thereto has 6een approved by the Gty as a
praperand s�'rtable connection.
402D06,i�EPAIRS AI�D MAINTENANCE TO CON�iECi'I�N
-A#�r���-iactia` '--`__`"'"�"""��'�'"�he water service curh stop hax�r tbe sewer iead at the prapert'.
line or a water service or sewer lead has been exterided to the property I'tne far cannectian,the appl�ca�,owner,
or the nccupant ar user af such premises shail be fia6ie far ali repeh�s required to arry wa#er iine and sewe�Gnes
necessary for connection of the prernises from the main ta t�"e premises. If the propetky owner reqvests
rnainfienance senric��r repairs he performed hY fl�e C�tY=the pruperty owner shafi be charged far the costs af the
. maintenance and/flr repairs, inciuding any ne�e�sary street repairs,at a rate�et annuallyby.an administratirre
poli�cy. !t shali be the responsihii'rty ofthe�FP�►�ent!aWner,accupantor user to perFarm standard rnaintenance nfi
• the sawer�ervic�line from the premises tr�the rnain induding de4ris clearing flr raot cutting and to mairitain the
wrater service curh�op 6ox far opera6lity and afi suth height as w�l ensure thafi it remains above the finished
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