Meter Swap �
� Request Number: 11666
Public Works Division
Service Request
Problem Address: 5061 Topper Ln Requested By: Larry Rozek
Department: WATER Address: No address provided
ProblemiIssue: INSTALL AMR METER Phone Number: 572-8678
Schedul ed Date: 201 b-07-OS Schedul ed'I5 me: 09:00:00
�U QS �� .c�"r�'` Rxvr
ACTION NEEDED:AMR �ef P..�V� r'Yl.r�.:� ���—�yy�
V T1�� ll�
Created by: Wendy Hiatt Date Created: 2016-07-01
ACTION TAI�N:
......�e.ln,../...........���-r.-.._�-..........W......�_�.....��.......�..��... ..._.1...._1......_.................................................................................._._........__.._........................................................._-___._.__.__
...._�_..�..��.......�.......�.........�.�..�.....7�.......`.�.q.....`...:�............................................__...........................................................___....._.__._____..__................................._......................._____....__._
....��...�.��.�-..:-�_........_��...�.1...1...�.,�..._�._7...s....-..'._..........................................................................._._...........____..................:.................................._.___--__.___.._.
.�/L7_.�c.�........�.�...�.��...:�..._�......7......�-�.P....�o............................................................................................._........_.................................._................_.._.._........___
..........................................................................................................................................w:........................................__..........................._.........................................................................................._._........................._..____....._........_..._.___.........._..._
Status: In Progress 5ubmitter Has Been �,
Contacted
Date Completed: Completedby: . �
�5��,�
�
:
c � - City of Fridl�y
- : --.. IMa#Qr Departenent
6431 University Avenue NE �
F�idley,IItIN 55432
{763j 572-356fi
1/we fiereby authQri�e th��itY���ley and/or its
empluyees ta do wh�t is n�cessary to replace the wat�er meter,t�����'���t���°�er
is liable far the water tine from the main to the premise and a8 interior ptamhing. (Per CitY code
402,Q6� I.alsa hold the CrEy of F�ridteY and jits Qmployees harmiess'F'�r any damages tnat may accur
while daing this aperatian. This to indude,hut nat limited to;++a�►P�P��g•��+floors or the curb
� stop bntt and serviee line. 1 t�oderstand 1 am atso required ta aht��a P+���P�or t+o�any work�if
necessary.
. Final m�ter reading[old meter] � �� O� .
Name• Address:
Phone Number: Date• —�:� .
Signature:
Wi#ness 5ignaCure:
FRIDtEY C{Tl CODE
CH,�PTER 40Z.WATEI�,STtlRM WATER,14�iD SANtTARY SEWER
A[�MINISTRATIUN
(Ref ard�l0113,464,555j 566+�Z9,638,56Z,422,988,1144,1156,1191)
4t��.05.PERMIT FEE �
Prior to tonstructing�r repair of any water or sewer line cc�nnectingifie exi�ting rnnnicipai system and any hause
ar building far which the application is made,the awner ar cflntractar shall be required to obtain a permi�fvr such
conrrectinn,and shafl pay a permit fee as prauided in Cfiapter 11 af this Code. After such cnnnection has been
made,the 1Nater and Sewer�epartment shall be nottf ed. It shali 6e unlawful to caver any connecting Pne until an
inspection has 6een made and such cannecti4n and the work incidait thereto has 6een appraved by the Ciiyy as a
praper and s�ita6le connection.
402.06.REPAfRS AND MAINTENANCE TO�E}N�tECTICIN
-A�tb�-initia •--`--`'_�'.,."`'�+`�the au ter service cx�rh stoo bux nrthe sewer lead at the propert'
.���w �
line ar a water service or sewer lead has been extended to the propertyline#ur cannechon,the appl�cant,owner,
ar the occupsnt ar user of such prem�ses shafi be li�bie far ali repairs required tn arry water(ine and�ewer line.s
necessary for connection af the premise�from the main ta the premises. Ifithe prope�ty owner�equests
m�intenance service ar repairs he p�erfarmed hy the Cty,the propettY owner shall be tharged far the costs of the
. maintenance and/trr repairs, induding any necQs�ary street repairs,at a rate set annualiy by.an administrative
poticy. it shall be the responsi6ility ofthe app{iear►tr owner,occup�►tor user ta pecfarm standard maintenance of
� the sewer servic�line fram the premises to the main incfuding debris clearing ar raot cutting and ta main�alri the
� water servic�curb stap box for operability and afi such he9ght as w�ensure ihat it rernains abave the finished _
, . _ . ._-
:,.�,acte of��ri�fard or-�ro�tt-ty.���t�63o,��.55,_;�n�:� _. _ � - - --_ .