Meter Swap � Request Number: 12130
Public works Division
Service Request
Probiem Address: 7609 Lakeside Rd Requested By: Coimie Johnson
Department: WA1ER Address: No address provided
Probtem/Issue: INSTALL AMR ME'IER Phone Number: 612-701-9662
�
Sched.�ule '�e: Sc6ednled 1lme: 10:00:00 �
f (�� ��`*�"` � l C� �
ACTION NEEDED:Old rusty�eter.Install AMR.
Created by: Weruty Hiatt Date Created: 2016-10-24
ACTION TAI�N:
_____�!�'�._ l'J-t, l�� ��� "��_._.__._...___. _.
6 L� ��}�C� 2� 5�q�
_._..�..��.......:�.�..��- �f�1 i �2._.�.�_...._._._. ....._._._..�.__
_._.._.���......._��`�_�._....__.._.._____._._.___.__ _�_.____. _______.___
EtZ..� �k 6���Dq�1 �
Status: In Progress Submitter Has Been r
Contacted
Date Co�npl�ted: �01�� ����j Completed by: �Q�e i ���
/v �
. ' City�f Fridiey
- . -.... V�Jat�r�epar'taneng
�431 LOnirr�rsi#y Aven�ae NE - .. _ ._ �
�ridtey,MN 55432
[753�572-356fi
(/.we hereby authari�e the Cety of ffsidiey and/ar i�.s
employe+Ps#o do wh�t i�necessary to a�eplace the water rneter. (under�tand that the praperty owner
ts liable for the water tine firom the mata tu the premise and al!interior p#um6ing. (Rer i�flt code
402,Q�) t als+�hatd fihe C�y af�cidtey and/it��mpioyees hatm[es�s ar any amag+es maY��"
wftile doing�is aperaficrn. This to inc{ude,ixrt n�t fimited tu;ua(�res,p�ping,wafts,flaars or the curb
stop bmc and s�enrice line, t unders#and 1 am also re�uired to abt�n a permit p�io�t+�any work�if
nece�sar�r.
. �'inaf m�ter seading(old meter) ���� v
�J�'�, ���— .
Name• Address: f��`�'�
� ,�, _a�__�� _
Qhone tuumber: #�• .
SSgnai�areR
� �
Witn�ss�gnatu e•
FitIDLEY�CITY C
C�t�P�iER 4Q�.WATER,5T�3RM WAT�R,�(��ICTAi{Y S�WER
ADMIN157RAT4UN
��ef t7rd�la 113,464,555;5fi6,5�.9,638,�6�,9Z2,988,1144,1155,1191J
40�.05.PE�MiY�EE -
Psior ta canstructing�r�epair ofi any water or sewer tine r.�nnecting�he existing municipal sys�em and any house
or buifding fior which the appiica�san is made,fihe owner as-corrC►ac�°t�Catl be required ta abtain a permi�#or such
contrection,and sha11 pay a permit fee as Pfouided in Chapte�11 of th�s Cbde. After such cannectian has 6een
made,ihe 1tVater and Sewer Department shall be notifted. It shal{he un4awful ta covec eny connecting Gne until an
inspection has been made and such cannec�ion and the wc,rk incide�thereto has�een appraved by the City as a
properand surt�ble connection.
40�.�6.fCE�AIR�AN[l�MAIN7�A�10E TO�OIV�t�C�(ON
-A#�r���iai#i,af_caqaectin��asip to the water se�vice cur6�v 6ax flr the�ewer�ead at the prapert�
line or a water service or sewer lead has heen e�ended to the pYaper[y line#ar connection,the applRcant,owner,
or the ncci+pant ar user of such premise�shal!be liable f�r a1f�epal�required�o any wat�r fine and sewer lines
necessary for connection of the premfses from the main to the premises, if the propetty awner reques�t
maintenance senrice�r repairs 6e performed 6y the Cttttq,fihe P►nPe�lY rnvner shall be charged for the costs of t�e
. maintenanc�andl�r repairs, induding any nece�sary street repairs,at a rate set annuafly by�n administrative
palicy. It shali be the responsihilfty csf the appltr.ant,awner,accupant or user tn perForm standard maintenance of
` the sewer service line fram the premise5 ig�►e main inctuding dehris clearing 9r raot cutting and Co mam�ain�e
watgr senric�cur6 stop box for operability and at suth height as wiN ensure that it remairrs abave the finished .__ . ..
, . _
-::gracte of�tii�-fiarid ar-�ro���iy.-tRe}6�5,a.�55,_t.�91� _ . - . � --