Meter Swap y Request Number: 13845
Public works Division
Service Request
Problem Addreaa: 1453 64th A�e Requested By: Florence
D�partment: WATER Address: No address provided
Problem/1s:�: INSTALL AMR METER Phone Number: 763-571-0778
Sche�d Date: 2017-03-20 � Scbcduled lline: 02:00:00
' M
ACTiQlrT 1�EDED:
Created b�: Beth Ko�c�ick Date Created: 2017-03-06
ACIItH'�T T'.4I�€EN:
��a W ._..____.._ _
.....____........_..__ � 1"��
Status: In Pro ss Submitter Has Beea r..
� Co�acted
Date Campleted: Completed by:
���"C�
�'�3-a��-�5��
!/�v� iaerstoy authorize ttl�e�Ci��of Fridley aredf�a�s e�np�oyees to aiio wi�at as necess
regolace tS�e wa�er metea�. D�aeaclerstae�d�sa�fi the pro�aea-t�ownee��s�ia�le f�os�ae�rater lina from�he�nain To�ee premise and aii drrterio�
" �tearea�sieag. (��r�Cs"ly code�2.Q5� 3 adsa�tml+d tbe�Fty��adley and�ts em�i�yees 9aae�mless for ar�y damages'�eat naay�ccur rrhile sloir:
r �+DE➢@C.aY➢OlI. �d'@d5�O 9�IGI�L',�a$aesa�t daaa9�ted�o valves,�iFira�wadfs,#7�nors a��ae�aarts sto��ox aeas!servdce�is�e. frn undee�s#and�am also
te�o�taira a�seraa�i�pr'sar to aray rror4c,s�F�ecessa�ye
-Z�, � .._ �( �(� �) � e. ��
�F4ttir��tetER�AulOUG�r�Ict meterj
�� ��0� � S� �- �o�-�
tiame: Address � � � ' � 1 —T I"�
Phorse�tum€xer � _ � 1.
Signatune Witness Signaturs
O�� �I�$�� I V�� �.
O��l��t�VfG, �� � l� l l J
lOP�ii60�llEd'ER� ��V ! �EJ�
1VE1�7�tEA,��if� _ �
���� � t �� �t� �,5 �
¢��t������
�H��Z.����,�o����������-��S�R
��a����
(Ref Ond�[o�13,�4y 565,5fi5,629,538,562,922,988,i144,1156,LZ91j
402.5 �ERMt�'FEE
Prior to�onstr�ctir�g or repair af amp water af sewer iirae connecfiing the ee�isiarag rnunica�ai sys�tem and arry fiause rn buiidhTg for rrhich the
app�ca�iara is rnade,the orrner or co,rtractar shatl be required to vbfiain a permit for such connectiori,and sfaalf pay a permi'�fee as provide
Cha�rCer 3.�of�his Code. After such connection has been made,the Mllater and Sewer Departmerrt sha11 be reo 'f�F'iesl. Ft�ail be untaarful to
ar�y connecting Gne ur�ti!an�rzspectian`rsas been anade and such connectian anct the war�c tnciderrt thereto has i�eert approved by i;he CFty a
proper and suitabte connectiara_
�402.06 tiEPAtR�J�iotD�lA11YTENANCE TO CON�IECTfON
After the initiat connectifln has been made to the wafier service curfia stop boac or�e sewer t��d�.�prapert�iine or a water senrice lead
been extended to the property line for cannection,the appiicarn,owner,or occ+uparrt ur user of such premises shali be 1"sabte for afl repairs
�'�q�����a�water line and sewer dines necessary for connection of the�-emises froia�s the main to the�em�es. if the psc�perty owner
cequests c�►airrtenance service or repairs be perFormed;bqr the C'ity,�ae property awner shati be charged for the�sts af the ma��ntenance arn
repa�rs,inciudirag necessary sCreet re�rairs at a rate set annuaity by an adnninistrative poficy. it sf�aq be ti�e sespons�it'rty o#fihe appiicarrt,
owner,occuparrt or user to perform sCanstard mairrteri�nce vF tf+e sewer serNice Cne from tfae premiSes to fihe main a+�ciudirig debr�s clearing
roofi cv�tang and to mairrCain the water serui+ce curb sCop bax for operat�sl'rty and at such�eagl�rt as bvill ensure that tt remair�s a6oae the ffnish
grade of the land or p�vperty. (ReF 638,1156,1141)