Meter Swap ` Request Number: 11619
Public Works Division
���� �V� Service Request
Problem Address: 211�-St Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: �.
y
SchedWed Date: 2016-06-24 Scheduled 1ime:
ACTION NEEDED:
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Created by: Wendy Hiatt Date Created: 2016-06-23
ACTION TAI�N:
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Status: In Progress Subtnitter Has Been C,
Contacted
Date Completed: Completed by: �
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� ' � City of Erid{ey
- Ulat�rD�partrnent _ . _� , .�..
�4�1 University Auanue NE
fridley,Mt� �54�2
�753�572-3566
1/we bereby author�ze the�ty af frid6ey andJ�ar tts
employees tm do wh�t is necessanf to replace the water meter.(�����d���t��P��owne�'
_L�liahle far the water line frorr�the mair�to the premise and a�ir+f�rior plum6�ing. (Per CitY cauje
402.�6j t.als+�hatd the C�ty nf Ertdley andJit�+ennployees harm(essfor any amages t may occu"
�+hile dning 1t{�is opecat�n. 3his to indude,but n�t 6imited iv;uat�es,pi�ing,��,fi[oars or the curb
sto�6un and service line. f understand 1 am afso required to ai�in�Perrn�priar to any wurk,if
necessa�.
. F9nal mcter�aading(old meter) �� `I��
Harr,e. A�aress:. `�lt �5I-h �Vk
Phoae Nutnber; Da#e:
Sigrtaituce:
1N�tness5ignatnr�; '�' '
FRIQLEY CITY C�DE
{,di�i'ER 4i�2�WATE�t,5�'�RM WATEt�,AN��SANITARY SEWER
p►�MtNISTRATIQ�I
(Re�fJrd No 113,464,565;556,fi29,638,662,922,988,1�.44,�156,1191)
4i�2.05.PERMtY'FEE �
Prior tv cansiracting c�r repair of any water ar sewer tin8 co�nQctingthe exi�ing municipat sys#em and any hause
or building for which the application is made,�he awner or caniractar shall be required ta abtain a petmi�fvr sucF+
conrrectian,and shall pay a perm�fee as Pfr�vided in Cfiapter�.1 of�is Cnde. After 5uch connectian has been
made,the 1Nater and Sewer Departmeat shall be nfltifled. It shali 6e unfaw�ul to caver any cor�necting i'me unfil an
(nspection has been made and such cannec�i4n and the work inade�thereto has heen approved by#he City as a
prnper and s�'rtable connect'san.
402>06.1�EP�1R5 A(ttD MAlNTE1VANCE TO�Ott11�lECitQ�#
�,���i�� . �__�__.,..,.,.,a+�tr��y�ter service cur6s[ap bax nr the sewer lead at the propert�
iine or a water servi�e or sewer iead has beerr Qxtended to the property(ine fur cannectian,the app[��ar�,Qwnet,
ac the�ccupant or user af such premises shall be fi�ble for ail�epalrs required to any water tine and sewer(ioe$
ne�es�ary for cannection di the prernises from fhe main#a the�premises. If ttte propetty owner reque�ts
rnainfienance service or repairs 6�performed bY fhe Crh',thQ FC°P�Y°wner shali be charged far the ca�fis of the
. maintenance and/ar repai�s, inc{uding any necessary s�reet repairs,at a rate set annaally by.an admtnistrative
poticy. lt shafl be the responsihitity of tt+e appiicant,flW�eff occupantor user ta pecFor�n Standard rnaintenance nf
� the sewer servic�rne fram the premises to#he main inctuding d�hr�clearing or raot cutCing and to mai�tairi�e
water service curh�op hox for aperability and at such height as w�i ensure�hat it remains abave�he finished
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