Meter Swap �
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Request Number: 16537
Public Works Division
Service Request
_____________ ___ ___ l� .__ _ --
Problem Address: 6010 Gardena�Ae Requested By: Nestor
Department: WA'IER Address: No ac�ress provided
Probiemllssue: INSTALI,AMR METER Phone Number: ?63-574-1722
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Schedaled Date: 2017-08-07 Schednled Tlme: 01:30:00
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ACTION NEEDED:Sfi�t offwater for val�e replacement and install AMR.
Created by: Wendy Hiatt Date Created: 201?-08-01
ACTION TAI�N:
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Status: In Progress Snbmitter Has Been �.,
Contacted
Date Completed: ���J�, Completed by: �p�q� �j'�,r�,,��
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� �i#y o#Fria�ey /
W�#es�epartevaent 7�� `j�y��'
fs43�.llniversity Avenue NE
Friclley,MIV 55432
:r 753-572-3565
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�S't1fe �'�' hereby acathorize the City of Fridfey and/or its employees to do what is necessary to
repiace the water meter. I understand that the oc^operty marner is iiabie for the water line from the main to the premise and afl interior
plumbing. {Per�ty code 4@2.06) 1 also hold the City of Fcidtey and/its empioyees harmiess#or arry damages that may ocr.ur while doing this
aperation. This to include,but not bimited to vsives,piping,walis,floocs ar the curls stop l�ox and service line. in understand 1 am also e+�quire
to abtain a permit praor to anY war6c,if necessary.
F9P{AL 4AETER READtAtG(ald meter)
Name: ru[dress l.�l_S 1 O G�ivG�`P�';(d,���,Q �
Phone lVucnber Date
Sig�re Witrtess Signature
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FRIDLfY CfTI CODE
CHA�TER 402.WATER,STORM WATER AND 5ANITARY SEWER
ADMiWISTRAT{QW
(ltef Ord No 113,464,565,566,629,638,6fi2,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing ar repair of any water of sewer line tonnecting the existing municipal system and any house or lwilding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a pecmtt fee as prav�ded in
Chapter 11 of this Code. After such connecCion has been made,the Wate�and Sewer Departmern shaif be not'rfieei. Ft shall be unlawful to cenre�
arry connecting iine until an inspection has been made and such connedion and the work incident thereto has been approved i�y#he Gry as a
proper and sui#a6(e connection.
402.Q6 REPAIRS AiYD MAUVTENAMCE TO C091fNECTiON
After the i�itiai connecCion has been rnade to the wa#er service cur6 stop box or the sewer lead at the property line or a urater service dead has
been extended ta fihe property line for connection,the applicarrt,owner,or occupant ar user of such premises shall be liabte for alt repairs
required to any water line and sewer lines necessary#or connection of the premises from tfie main to the premises. ff the property owner
requests maintenance service or repairs be performed by the�ty,the property owner shall be cfiarged for the costs of the mairrtenance andJor
repairs,including necessary street repatrs at a rate set annually by an administrative policy. It shall be the responsibilrty of the appiiqrit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inctudin�debcis clearing or
root cutting and xo masntain the water service curb sCop box for operability and afi such height as will ensure that it remains above Che finished
grade of the iand ar�roperty. (Ref 638,1156,1191)