Meter Swap .
�
` Request Number: 13722
Public works Division
Service Request
Problem Address: 6575 Fridtey St Requeated By: Harold
Dep�rtmeirt: WA'IER �.e�s: 6575 Fridl�y Street �
Fridlay,MN 35432
Problem/Issue: INSTALL AMR METER Phone Namber: 763-571-8055
Scheduted llnte: 2017-03-02 n� Scbeduled 1lme: 0�:30:00
,3
��oN���:
Created by: Beth Kor�drick D�e Crertc�: 2017-02-2�
ACIION TAI�N:
�'Y 1.�;)\w�� ��
Status: In Pro s Sabmitter Hra Been r,
� CoMacted
Date Completed: Completed by:
�- 2 ��. � �0�
�
9'�"9d9M�9,�2 6li6TC ��4,��
���_���_���� � 3���--
�� !/�r� hea�6y authorize ttlae�' �f Frid!
rtZr ey andJor its employee�to cfo whafi ds necessao
regslace td�e vrater snete�r. l vnclerstancl t�a��Ese qaro�esiy owner�s€iable fv��3�ae�vafier lin�from the rr►ain To�i�e premise and atl interior
� �taaraa9sieag. {e�er�City sode��Z.OSj 3 a�su hoid the�'rLy r���Fsiley and/Sts em�tcx,,ees hae�nless for any damages tfsat snay�ccur�rrhile sloing
o�aer�xtion. T9ais fio�netude,�u$�so{c disa9cted to vahres,p9p�ng,urails,fl�ors or t�ae casriz sto�s&aAx aead seruece lis�e_ Irn andersfand i am alsa a�
t�otataiea a gerrni•t�arsos to arry��r&,��eecessara,e
a � o -y�Ss�o -� �
�9u��ner�R�Dnv��a�m�e��a 1 ��l � ��
A�ame: Address t3�
P�one 9tum6es- / ��� {� Dafie �^ l� V�
Signafiure Witness Signature
o�� ������3��l �I q � �
o������� I 1'�
�w �! b �
qt� �
i�FEiA�M�'l'€R#� � �� �"��
N�t6�T�o
Ei�l'# � t $ ., �,� '
�KIdtEY CI'9�f Ct.�D�
c�a�►��a aoa.w�,r��,s-ro�w����tvo s�nrrra�v s��t
arnwnv,s�c�n-�ow
�it�f Orsd S1trs�.13,4&4,�65,,65,629,838,�62,9Z2,988y 11�4,1156,1191}
4Q2.5 PERMii'FEE
Prior ta consts�tsctie�or repair aF a�y water aF sewer 9ine connecting t�e existing rnuniapai system and arry fiouse or hu7dir�g for which tf�e
application is made,the oewner or corrfiractor shali be required to obtain a permit foc such c�nnection,and s�ali pay a permit fee as providec
Chapter 3.1 ofi�is Code. qAfiter such cannection has been made,the bllater and Sewer Departmern shall be nofified. dt sEiatl be unh�wful ta c,
any connectang(ine unfil an inspection has been made and such connection and the wortc inaderrt thereto has 6een approved Ery the City as
proper and suitabte connedaon.
402.06 9�EPA1IRS APID�tA1NTEIVANCE TQ CONNEC130N
AiFter the inifiiaf connection has beesa made to the water senrice surb stop box or tF�e sewer fead afi fihe property iine ar a waber seryice lead�t
been exfiended#o�se property line for conraecfiian,the appfiprrt,owner,or accuparrt or user of such premises s(�a[I be Ctat�ie for a1{repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. If the property 4wner
requests mairrtenance service or repairs be performed iry t�e City,t�e pi.opert,y cxwner shail be charged for fihe costs vF the rnairrCenance and;
repairs,includi�ag ne,�essary st�.eet repairs at a rate set annually by an admin�nre poticy. !t shaf!be tiae resporrsibil"ity of the appiicarrt,
owner,occu�arrt or user to perform s�+ndard mairrten�nce of the sewer service l�ne from the premises to�the rr�ain�ndudi�debris dearing c
root cutting and to mair�tain the water service curb stnp box for operability and at such f�eight as w1!ensure Chat it remair�s a6ove the finishe
grade oFthe fand or property. (Ref 638,1156,1191}