Meter Swap s
r Request Number: 11620
Public Works Division
Service Request
Problem Address: 45?1 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:
Created by: Wendy Hiatt Date Created: 2016-06-23
ACTION TAI�N:
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Status: In Progress Submitter Has Been C,
Contacted
Date Completed: Completed by:
_a�. l�,
. � - Ciiy of Fridiey
� - . _ � tAlat�r�epartment _ . __ _ --_.
64�1 Univ�rsity Avenue IdE
Frid9ey,l�iN 55432
(763)512-�56G
IJwe hereby auths�r�x���Cety af frietiey andjor ii�
emptoyees tte�to wi�at�s necessary to sr��s9ace the watec meter,4 unders#artd that the praperty owner
is liabie for the water I�ne from the main t�a#he premise and a�interiDr pic�mbing. (Per City cade
AQ2,�&J i.als+�h+�td fit�e�ity of Frid4ey�nd j`sts employ�eQs harmisssfor any amages +a may+�cur
while doing this aperation. This to include,bu�n�t fienited to;vai�es,P�Ping•walls,floars or the ct�rb
stap 6ax and se�vice tine. t andersiar�d t asr►atso requiced to ahtain a perrnit prior tn any work�if
n�ssary, �� � �
_ �inal meter reading�old meter) � .
Name: Addsess: � J� / i a'��' 5 t -
P6nne Numaer:
Date: � �� �
Signa#�re:
Witness 5ignatur�:
�Et1DLEY CITY C+LlDE
CH�PY'ER 40�=WA1'ER�STi�BM WATER,AND SANlT1�RY SEWER
A�Nf4NiS7RATtON
(Ref Clyd No�.�.3,4-54,565;566,6Z9,538,66Z,922,988,1�.44,1156,1191}
�UZ,05.PE�l�111"F�E �
Prior to canstructing or s'epair af any water or sewer lina connectingthe existing mvnicipaf systetn and any itouse
or building for whict�t{�e�app4ic�tios+is made,the Qwnee or corYtractar�hall be required to obtain a petmi�for such
conrrectian,and shall pay a permi�fiee as p����ea i►��apter 11 ofthis Code. After such cnnnection bas been
made,the 1+Vater and Sewer Department shail be notified. tt shafl6e unlawful to caver any cannecking�ne until an
inspection has beert made and such�onnecCion and the urork incideat thereta has 6een appraved 6y the CFty as a
properand suFtable cvr�nection.
402.06.f4EPA1R�AND N1�1NTE�IANCE t�CON�IECitQ�l
-A#�r���iRitia .. �__�___�,..a�+ �FiE iNif��rSBTVEC�CUI'GS'IOD YlC1X41'fI1E'_5�W8f IE3d�t�'18pfQj3�C���
line of a water service or sewer lead has heen exterided to the Property line for connQcdanJ#he apptica�t,uwner,
or the accupant or user af such prem�se�sha4l 8e 1i�bte for al1 repa�reguired i�n arry wake�line and sewei iines
necessary for cnnnection af the premises from the main#o the premises, ifi the propeCkyr awner tequesCs
maintenance servtce or repairs he performed by the�ity,the pr�petty awner shail be tfiarged far the cost�of the
. maintenance and(ar repairs, inciuding any neces�ary s�raet repairs,at a rate s�t annuaf(yby.an adminfis�rative
polisy. 1t shail be the responsi6ifity aftE+e apPiicantr awner,accupantar user to pe�'orm Standard rnain#enance of
• the sewer senrice line from the premises ta the main incfuding de�is clearing or rout cutting and to mairitaln the
water servic�cur6�tap hox for opembility and at�uch height as wtll ensure�hat it rernains abave the finished
,,,gracPeof�'r��1a+r-a'or-�rn��i�y.�(�t�6;�8,;.�5,.�.���:i _� ._ _ ..._ ....- � -.. _ .:.._ ... . ---- -�� - --�.