Meter Swap , � _� n • Q�,J��.
. � ry"`" �-� Request Number: 13573
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Problem A,ddress.��' 6015 G�dena Circle� Requested By: Dom1a Olson
DepArtmeat: WATER Ad�resa: No address provided
Problem/7ss�: INSTAI.L AMR METER Phone Number: 371-7323
Schedaled D�te: 20I T-U2-24 � Sche�eled 11me: 10:30:00
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AC�iON 1�EEDED:
�SGrexted by: Wendy Hiatt DNe Created: 2017-02-21
AC'II�N TAKEN•
�.3�leo�
Status: ta Progress Snbmitter Ha�Bee� r.
Contacted
Ds�te Completed: a�-a..�,..` � Completed by: ���
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5431 i9nav�ssitq�J�ve�aaae�t� ./�
Fr�dley,M6V �5432 /� � ' `1 �
� 753-572-3556 �� �1Y
1 '!�°Q her�by authorize the�iy of F�idley andJor its employees to sto what ds necessaey t
reg�lace the water�netes. i vnderstand that�he property owner vs liable for the mvater line#eom 4he main to the premise and a11 interior
ptumbing. {Per C�ty code 4�Z.06� 1 also hold the�ity of Fridley and/'rts empioyees harrnless for eny�/amages that may occur rrhile doing thi
operatian. Ttais�o�ncfude,bu$nat 9imi#ed�o valves,piping,watts,floors or the s:urb stop box ared service line. In understand I am also requ
to obtaira a permit prior to any rror4c,if a�ecessary.
0110 � �17Co 3 `70' 4 �
FttuAt METett READ�tG(akt meter) V� Q
Name:__��f1�(/1,61. �'�✓1 At4dr�ss �G� � VIO�Q'�
Phone Num6er J 7 ' � 7 3� � �� �` oc/�... l"�
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Signature iK'�tness Sigrtature ��
o�o���R�_ l 7�2 �� c� �t l
OLD READtNG_vot,����d
tVEW METER# ���D ��`�
NEW READIIVG �
�RT# � l ��o� v � .
FRIDCEY CITY CODE
CHAPTER 402.WA7'ER,STORM WATER AND SA9YITARY SEWER
ADMtNISTRl�T10111
(Ref Orsi MO I13,4&4,565,�66,629,63$,662,922,988,1144,1156,1191j
402.5 PERMlT FEE
Prior to constructir�or repair of ar�y water of sewer line connecting the edsting muniapal system and arry hause or fwiWing for which#he
appiication is made,ti�e owner or corrtractor shall be required to obtain a permifi for such�nnection,and sttali pay a perm�t fe�as provided 6
Chapter 11 of fihis Code. After such co�nection has been made,the Water and Sewer Departmerrt shail be notified. tt shail be uniawfut to cov
any connecting(ine until an inspection has been made and such connectioo and#he work inaderrt thereto has been approved by the Crty as a
proper and suitabte cvnnection.
402.06 ltEPA1R5 qND�4tAi9y'TEfI(AAICE 7Q CONNECTION
After the inifiia(connectivn has been made to the water service curb stop box or the sewer lead at the property line or a water servicae lead has
been exfiended#o fihe property line foc connection,ths appiicarrt,owner,or accuparrt or user of such premises shat!be ifable for all repairs
required to arry water line and sewer lirtes necessary for connection af tfie premises from#he main to the premises. tf the property orrner
reques#s main#enance service or repairs 6e AerFormed by the C'aty,the property owner shaii be cFiarged for the costs tr�the mairrtenance and/o
repairs,inciudirag necessary street repairs at a rate set annually by an administrative poticy. ft sfiat!be the responsbility of the applicarrf,
owner,occuparrt or user to perfvrm standard maintenance of#he sewer service Gne from the premises to tl�e main inctuding debris dearing or
root ceatting and to mairrtain the water service curb stop box for operability and at such heigtrt as uri11 ensure that�t remains above the finisfied
grade of the fand or prvperty. {Ref 638,1156,1191)