Meter Swap Y
� Request Number: 13721
Public Works Division
Service Request
Prablem Addresa: 6549 Fridley St Requested By: David
I3epartmeM• WA1ER q��.�$i: 6549 Fridley Street
Fridley,MN 5543Z
Problem/Iasue: INSTALL AMR METER Phone Number: 763-571-3259
Scheduled Date: 017-03-07 Sched�ed 11nte: 08:00:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Cre�tcd: 201'7-02-Z8
AGIION TAI�N:
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Status: In Progress Sabmitter Has Been �
Contacted
Date Compieted: Completed by:
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�:'AP� here6 autho�ize tiae+�i
Y 'ty�f Fa�Kiley and/oe-its e�nployees to ato rnrhat ds nesessaa
� regolace�tte vrater�raeter. ��nclerstand t-�eatt the g�ro�aeafiy o,�vner is�ia�le for fi4�oe�rafier 4irte from the anain fio�he premise and a!I iarterior
�xleaeeg�sirzg. {per�'�ty sosie 46D�.Q6� 3 adso�t�irl the�ity�Fe�idley and/its erre�sio,yees harmless for eny�lamages ttiat reaay occur white rloing
o�seration. T9a�s�0 lnclu+�e,�t ra�8iss�dted�o valves,�Iping watts,floors or tfae curb sto�b+ox ared seevice�ine. (ra�asd�cstand�am alsa rE
to o�taira a perrnit�arsos�o aray wnr�,i�necessarye
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Signatu� �.
Ntiir�es-s 5ignaG�tre
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FR6DLEY�!�"1(CC1D�
C[-1P►�'�R 4p2.WATE�t,S�"OiiN!W�1,1'E�A4YD�NNITARY SEWEI�
ADNlli�llSTRATt�N
(�i�€C2rsd�Yto 113,4&�y 565,�65,629,638,�C2,922,988,�144,I156,L191�
�02.� r�+�tt�rt-r�eF
Prior to�vnstructing or repair a�F any water oE sewer�i+ae cunnecting the existing a�nuniapai sysEem and arry�ouse or buildir�for which#ie
app(ication is�rs,ade,tfie o�vner or corrtractor shaii be required to obtain a perm'rt'For such connection,and shali pay a perm'rt#ee as providec
Cha�ter 1�of�his Code. After sucfi corrnection�as been made,the MVater and Sewer Departmerrt shal!be nofified, Ft shail be untawfui to c�
ar�y connecting(ine urrtil an inspection has been snade and�uch connection and the waric inader�t thereto has been approvec(by the Crty as
graper and suita6�e conneciaore.
�tl�.06 REPAJR,S AANfD�TAlhtl'ENANCE TO Ct3A(f�tECTiQl01
A�ter the inifiiat sonnecfiion has t�een made i:o the water service curb stop boec or the sewer�ad at ifse propert�f�irte or a rw�ter sery�ce�d h
been exfieraded to�the property l�ne for conr�ection,the appiicarrt,owner,or aecuparrt ar�rser of suct�premises s6aJi be 1'iable for ail repairs
�'a�i�'�d�o anl/�+ater dine�nd sewer lines necessary#or connection of fi{ae premises from#he main to ti�e prem�es. tf the qro�rty orrner
requests mais�tenance servfce or repairs be perFormed by the C'rty,the�rr�per�y rnvner shati be shar�ed for#ie�sis of the mairrtenance and;
repaic�s,iraciud�rag ne+cessary street repairs at a rate set annua�ly b•�an administrakive poPcy. (t sfiaif be the resp+onsibii"r�vf the applicar�t,
owner,accupant or user to perfornn standard mairrkesiance of tHe sewer service line from the premises to the rnain aacludi�debris dearing c
raat cut�ing and�o ma�rrtain the water service curb sCop bax for�perability and at su+ch�eigfrt as xn"!1 ensure that it remairis a6ove the finishe
grade of the land or property. {Refi 638,1156,1191)