Meter Swap ;
° Request Number: 13379
Publfc works Division
Service Request
Problem A�dress: 990 Haclanann Circle Requested By: Sterc Kruck
De�rtment: WATER Address: g���Circle
Fridl�y,MN 55432
ProMem/Issue: INSTALL ANIIt ME'IER Phone Number: 763-5'72-0303
Schedultd te: 2017- 2-15 Scheduled�nu: 11:00:00
�5�� Cc..r�
ACZION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-02-09
ACIION T .
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Status: In Progress Submitter Hss Been � .
Contacted
Date Completed: Completed by:
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�/ate�-��ar�ta�t�en� � (
543�l9niv�rsityr�,ereneae 6VE �,'r ,�� �,
t Fr6clley, NdIV 55432
,53-532-3556 � ) l - �1 7� ��f� - � � /
.
t/we hereby authorize the Ciiy�f Fssdley and/or its employees to c!o what is necessary ta
replace the water meter. !understand that�he propec�ty owner�s diabte for the water line feom the main to the premise and a!1 interior
�lurrsbing. (Per Crty code 4�2.06j i eiso hoid ihe��ty+of Fotidley and/'rts em�loyees harmiess#or any damages that may Occur while doing this
o�ee�a2ion. This#o anclude,bufi not limi#ed to vatves,�t9ping,wa{{s,floors or the curb stop boz and service line. 1n understand!am also requii
to obtain a permit prso�r to any avorlc,if necessary.
FiWA1.METER READNYG(okt meterj I�� �� ��
Name• �J�`�' '� �1 V� Address�� J_��� II��A���
�
Phone Number��ci '�: ���3pate� `�� ��
S'gnatv�e Witness Signature
OLD METER# ��O `� L 1 ��
OLD READtNG � ��� ✓v
NEW METER# '�t�� —]� c�t
NEW REAaliliG O
�R�# '1 t9�t Z� 22 �
FRIDL.EY CITY CODE
CHAPTER 4Q2.WATER,STORN!WATER AND SANITARY SEWER
ADMlNISTRATION
�Ref Ord Plo 113,464,565,566,6Z9,638,662,922,988,I144,IISfi,1191)
402.5 PERMIT FEE
Prior to constructing or repair of ariy watec of sewer!'sne connecC"sng the existing municipai system and arry hause or buildir�for which the
appiicaCion is made,the rnvner or corrtractor shaU be required to obtain a permifi for such connection,and shali pay a permitfee as provided in
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Department shaii be ncrtified. ft shall he untawfu!to covE
any connecting line until an inspection has been made and such connection and#he worBc inaderrt thereto has been approved by the Gty as a
proper and suitahte connection.
402.06 REPAlRS AR(D 911IAt{yTEfllqyyCE TO CONNECi'IOtY
A�Ffier tl�e inifisal connection has been made to the water service parb stop box or the sewer lead at the property line or a water service tead has
been e�ctended to the property line for connecfiion,the appiicarrt,owner,or occuparrt or user af such premises shai!be liabte for a11 repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the prem'ises. tf the properly owner
requests mairrtenance senrice or repairs be perFormed by the City,the property owner shait be charged for tt►e sosts of the maitrter�ance andioi
repairs,inciuding necessary street repairs at a rate set annually by an administrative poficy. Ft sbatl be the responsibitity of the applicarrt,
owner,qch:upar�t or user to perform standard mairrtenance of the sewer senrice line from the premises to the main inciuding debris dearing or
root cutting and to mairrtai�the water service curb stop box for operabiiity and at such height as wiN ensure that it remairis a6ove#he finished
grade of the land or propertry. (Ref 638,1156,1191]