Meter Swap !
` Request Number: 13742
Public Works Division
Service Request
Problem Address: 1661 Camelot Ln Requested By: Jan Johnson
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-9287
Scheduled Date: 2017-03-03 5cheduled'ISme: 11:00:00
�� � �
✓ ��
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-03-01
ACTION TAI�N:
��C�,�' �_
...._........................................_.................................................. ..... ..........__._..............._............................._.........__.............................._.......__...._........__...____.___...._._........ _..__._.._._..
......................................................................................................................................................................................._......___...._......_...._.........._..........................._......_.................................................................................................................
..........................................................................................................................................................................................................................._..._....._..............._._......................................._.........................................._......................................................
................................................................................................................................................................................................_........._..... ..........................................................................._....................................................................___...._...._.
Status: In Progress Submitter Has Been r
Contacted
Date Completed: 3— �' '"' �� Completed by:���
.
� ,
4-�'9e8��2�, �I/ti6AY ��4��
753-�72-3�5�
�,�� ao�- y713qo -d f
herz6y authorize t#ae�dty oF Fridley and/or its emptoqees�o d�nv�at ss necessaa
r��a�ace#he water�neter_ 1�anderstand td�a�#�he uro�aea-ty owner 6s�ia�le for fitae�rater iir�e from the enain to�Cae premise and ail iMerior
: pluexa�sieeg. �P,es��t�j code 4QZ.06) 3 adso�:old the�fity r�f��istle��and/9ts em�sl��pees 9tarrnless for a»y�lamages tt�at ssaay�ccur wlaile sioirag
nperagion. �'4�is#a include,4au$zno�Biaa�9ted to eralves,�iPing uva(!s,f600rs or ki'e�earb stog&aox and senrdce lir�e. Ira�easd2rstand�am also a�e
te���atatra a peran'rt�arior to�ar�y�eror�,if�secessarye
�F91ti.��Vt1E71ER 3�AD19UG�ald rneterj � 6 Q^-���a
�iame: �Wr1 Jd'�� Address_ '�+['��Q/� l.��M•'(�1U`�` ��
P3aone�iure��se� J i l` l� `� l Dafie �� 3 � �� '�=
Sigreatu� Witness SdgnaYur�
OLi� A�E�"�d�#_`-'�D��� �� �%�:.:�
�
OLI� �E�►Dl�t� 3�2 q `Z30 �\ .
��������� �9a�a�5 I � -��
�
���,-��
a �
���-# � «a c l � q .
F��4�L���1���i�9�
�E-�t�P�����Z.4b/A7'E�Z,��'06�E'ti� t�4llA,�'Efi At4i�S�tNi�'A�t�C SEP�{iER
ADN11S�IS�'9�A1'd�!
��i��t)��Nto 113a�����6�,566g 629,�3�,�62,92t,9$8,g�44,T.155, 1�9].�
402.� PER4V19T FEE
Prior to sonste�a,�ctie�g or s-epair of any water of sewer iirae connecting the existirsg�zaunicipai system and any n+ouse or'�uilding for which the
application is rrrade,filae owner or corytra+ctor sha1l be�quired to obtain a perrrsit for sucd�connection,anci s�aali pag a permit fee as providec
Cha�ater�2 of thas Code. After such connection has�een made,#he►�V'ater and Sewea��epartmen�shall zae rao#i#ied. Qt shall be untawful to c�
any�o�anecting d�ne un•til an lnspection has 6een�nade and such connection and the wor�C inciderrt thereto has 6eera approved by the City as
�roper and suitab{e�onnectiora.
4�ZA6 �{EPAddiS AND�/iAIIVTENAIVCE T��ORI9YECTiON
A�er the initia!cortnection has beera made�o the water service curb sto�s box or the sewer lead at fihe propec�iine or a water�ervice lead i�
€�ee�exfiended to fihe properCy line for conreection,the appiicarrt,owner,qr a�cupant ar user o#such premises shall be 1ia61e far a11 repairs
require�!to any water dine and sewer Dirtes necessary for�onnectian of the premises from the main to the prerrwises. if the property owner
�equests main#enance service or repairs be performed 6y the City,the prr�pe►'tty owner shall be charged fvr the cosis of the mairrtenance�nd,
sepairs,incl�tdirag necessary;treet repairs at a rate set annualty b�+an adnniniskra�kiwe policy. It shalf be tiae sesponsibidi#y of the applicanf,
o�nrner,occupant�r user to perform standard mairnenance of the se�wer serwice line from the premises to fihe rnain arscluding debris ciearing c
roofi cwtCing and�o enaintain the water servi�e�urb stop hox for operadaility anc��t suc6 t�eight as will ensure that 9t remains above the finishe
grade of khe�and�or properky. �l�ef 638,1156,1291)