Meter Swap � Request Number: 13415
.
Public Works Division
Service Request
PsoWem Address: 5771 Central A� Reqnested By: Karen
Depu�tment: WA'IF,R Addreas: No ad�ess provided
ProblemlIssue: INSTALL AMR METER Phone Namber: 612-849-2868
Scheduled Date: 2017-9�6. �-�- �� Sc6ednied 1lme: 07:00:00
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q ACIION NEEDED:
Created by: Beth Kondrick Date Crea�cd: 2017-02-1Q
ACTiON TAI�N:
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Status: In Progress Snbmitter Has Been r
Co�acted
Dxte Completed: Completed by:
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•+�..r.... y..c�,.ue Lrea�cletl.
�433.i�niversii�r�#veraue N�
F�idley, MN 55432
753-572-3556�O � f t�")' �G � .O �
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�,�"°�-- ` her�by authorize ttae Crtyy a#fridley and/or its employees to do what es necessary to
rep�ce the water meter. 1 understand tha#the properky owner�s liable fo�the wafier lie�e�rom rhe main to the Premise and all irnerior
ptuttabing. (Per City�os1e dQ2.06� i a(so�hold the Cit�j t�f Feidiey and{its employees harsnless#or eny slamages that may occus while doing this
operation. This to 9ncfude,but not limi#ed to valves,piping,wa61s,flooPs or the curb stop box and senrice line. in anderstand i am aiso requir
to ol�tain a permifi prior#o any�vorlc,if necessary.
F1flt1�11.METER REAOtNG{otd meter) I � � �� �
+�tame:—+r'���Q/�t Address �� ` , lJwt �1 /�'�'�i
Phone 4Yumber �Y� �� � � p� 3� �� ��
Signature W�tness Sigrtature
OtD METER#
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OLD READti1iG F �� � ��'� 1
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f�9EW METER# � f`� (� � ��� � �
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NEW REAatIVG C�
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FRtDLEY�1TY£ODE
CHAPTER 402.WATER,STORM WATER AT�1D SANITARY SEWER
ADMINiSTRATtON
(Ref Orci No Z].3,4&4,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to construrting ac�epair of any water aF sewer P►ne cnnnecting tfie e�tisting muniapaf system and arry house or butldirrg fvr which the
applicafiion is made,the owner or cor�tractor shall be required to obtain a permit for sucf�connection,and shall pay a permit fee as provided in•
Chapter 11 of this Cocie, After such connection has been rnade,the Water and Sewer Department sl�all be rtotified. tt shall be un{awfui to c�
anp connecting line unti!an inspection has been made and such connectian and tfie work inaderrt thereto has been appro�ed by the Gty as a
proper and su'rtahle connection.
402.06 REP�1lRS AND MAISYlENAfYCE TQ Ct�1tfYECT10N
After the initial connectiup has been made fio the a�ater se�rice curb stop brnc or the sewer lead at fihe property lRne os a water senrk�lead has
been eutended ta the property line for connection,the appiicarrt,owner,or accupant or user o#such premises shatt be tiabie for all repairs
required to any aratec line and sewer lines necessary for connedion af the premises from the mairt to the premises. tf the propertY rnpner
requests mairrtenance service or repairs be perFormed by the C�ty,the property owner shatl be charged fvr tt►e costs af the mairrtenar�ce andJor
repairs,inctuding aecessary stree#repairs at a rate set erts�uai(y bar an administrative poticy, It sha11 be the responsibifity o�the applicant,
owner,occupan#ar user to perform standard maintenance of the sewer service line from the premise�s to the main induding debrls dearing oc
raot cutting arsd to mairrCain the water service curb stop box for operability and at such height as wili ensure Chat it remairis above#he finished
grade of the land or property. {Ref 638,1156,1191)