Meter Swap .
" Request Number: 11602
Public Works Division
�5}� �v L Service Request
r.
Problem Address: I l l�z� Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number:
Scheduled Date: 2016-06-24 Scheduled Time:
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2016-06-23
ACTION TAKEN:
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by:
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� ' � �6�y�f Fridley
- - • ln�at�r D�partanent ._ -. �...
64�1 University Avenue NE
Fridley,lltiN 55432
('P63)5�2-356fi
lJwe hereby authorize the���f Fridley andjar ifs
employees to do what'is necessaey to repiace the wa#er meter, t understand that the propertY owner
is liabl�fi�r the water Iine from the ma�n to the pr�mise and all ir�eri�r plum6ing. {Per Gty cade
4a2.�6) t.als+�h�ld the C�ty of Fridley and�ts employees harmfeSS or any amages a maY�c �
while doing this operat'rc�n. This t�indude,but not limited to;ualaes�piping,�tsr fiaars ar the carb
stuF bott and senric+e lene. i understand t am atsa required to ahtafi a Permit prior t+a anY'u�►vrk►iF
necessery,
. �na1 m�ter reading(oid rneter� �� �� �
Name: Addresx: `��`��� " '��
P1�one Numt�er: Da#e:�_��--
Sigttafure•
Witness5igna�sare� ` --
� . �R1DlEY ClTlf C43DE
CEipiPlfER 4t1Z.WATE�t,ST�RM WATEft,AN��ANITAi�Y 5�R
�0.�MINISTRATlC1�1
�Ref Drd No 1�.3,464,555;556,6Z9,638,662t 922,988,1144,1156,1191�
40Z.05.PERMIT FEE �
Prior to canstruc�ing or repair ofi any water or sewer linE cflnnecting tl�e existing municipal sy�em and any hause
ar buiiding for which the eppGcatian is maae,�he Qwner or co�ractar shall be reqaired t4 obtain a petmi�for such
co�rrectian,and sfiall pay a permit fiee as prcrvided'sn Chapte�3.1 af this Cbde. After such conneetion has 6een
made,the 1Alater and Sewer Departmeot shall be nc�tifted. 1t shal!he unlawful to cover any connecting fine until an
inspection has been made and such connection and the work incide�rt thereto has heen apprflved by the City as a
prnperand s�itabte connection.
402.06.�4EPAfRS A�it�M�,IiVTE4VAIVCE T��4N1VE�TIQN
-A�-e����ipitia' . • __�____...,..+���,a,,�ter service curhstoa bnx nrthe sewer lead a#the pmpert�
line or a wai�er service or sewer lead has been e�ended to the property line#or cannechon,the apptia�,awner,
or the occup�nt or user af such premises sha{l be liabie for all�epal�reqaired i�o arry water iine and sewer lines
neces�ary for connectian af the prerni5es from the main to the premises, tF the prop�tty awner requests
mainfienance service�r repairs he perforrt►ed by the CiiY=the Propa�ty owner shali be tharged fiar the casts of#he
. meintenance and/or repair5, including any necessary st�'eet repairs,at a rate set annually by.an administratiue
poli�cy, it shall be the respansihility oftE�e aPPlicantr Qwnerr°ccupantor user ta perform�tandard maintenance af
• the sewer service��ne fram the premises ta the ma�n lncluding dehn5 clearing ur raot cutting and Co mamtairi the
water setvice curh stop box far aperability and afi 5uth height as wiR ensure that it remains a6ave the finished
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