Meter Swap �
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Request Number: 13439
Public Works I�ivision
Service Request
Pro�em Address: 5834 Haclanann A�e Requested By: Gina
Departme�: WATER Addresa: No address provided
Probtem/Iaa�: INSTAL.L AMR METER Phone Nmnber: 651-402-0640
Sc6edule te: 2017-02-15 Sc6edaled�fine: 08:30:00
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ACTION NEF.1)ED:
Created lry: Wendy Hiatt Date Created: 201?-02-13
ACIION TAI�T:
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Stat�: In Progess ���er Has Been �. .
Co�acted
Date Completed: Completed iry:
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5431 t9niversity l�ve�aa�e NE ��� ��`j �
, Fridlsya MN 55432
,� 763-5?2-3565 � ` 1 .�y �(�,���} _L} � .
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,,'"P� here6y authorize#he�iy af 1Fritlley andror its empioyees to do what is necessary to
replace the water rneter. i understand tt�at#fie�roperty owner�s tiable for the water line from the main to the premise and all is�terior
p4urr�bing. (Per C�ty coele d02.�6j i also hold tfie Cct»+of Fridley andjifis empioyees harm{ess for arry damages that may occur while doing this
operation. 3fiis to include,but not lie»i#ed 3o vaives,pipin�walls,flooa�s or the s:urb stop�ox and service line. On understand i am also requi�
to obtairs a permit prior fio�rry�ra�c,if necessary.
FItVAL METER READING(old meter� � � �� ���
Name: ��� 1N`_ Address� t�'��.I ��1�-C����.� �Q�
Phone Number � V � �+ �afie �^ ��� Y�
���� Witness Sigrtature
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01.D{WETEI�#��`� V� �p
OLD READt1VG�_ J V � ?j��
NEW METER# `[(U�t/ � � 7J �j
NEW READfR1G "'
ERT# � � � � 3 � 1 � � " �
EKIDLEY�iTY CODE
CHAPTER 402.WATER,SPORM WATER AND SANITARY SEWER
ADtit11411157'RATI+ON
(Ref Ord No 113,464,565,366,529,638,562,92Z,988,1144,I156,1191)
402.5 PEftlIAIT FEE
Prsor to constructing or repair of any water of sewer tine connect►ng the existing municipal system and arry house or 6uiidlr�g for which#he
�PP{����n is made,the owner or cor+tractor shaH be required to obtain a permtfi for suc(h connection,and shail pay a permit fiee as provided ir�
Chapter 11 of this Code. After such cannection i�as been made,fihe Watsr and Sewer Departmerrt shaU be notified. !t shaN be un(awfui to cove
any connecting fine unti!an irtspection has 6een made and such connection and#he work inciderrt theretn has been aQproved fry the City as a
proper and suita6te connec#ion.
�02.06 REPAiRS AND MAI9NTEfYANCE TO CONNECTIQN
A�Cer the inifiia!connection has bee�made ta the water service curb stop box or the sswer lead at the propertY line or a water mrvice lead has
been extended to tFre property iine for cqnnection,tfie applicant,owner,or accupasrt os user of such premises sba(i be iPable for a1!repairs
required to arry water line and sewer Itnes necessary for connection aF the premises from Lhe main to the prem7ses. If tt�property onrr�ec
requests mairrtenance service or cepairs be performed qy the Gty,the property awner shatl be charged tor the msts of the mai�rtenance ancliw
repairs,induding necessary street repairs at a rate set annualty by an administrati�poticy, it sbati be the responsbility of the applica»t,
orovner,occupant or user to perform standard mair►tenance of the sewes�servsce fine from the premises io ihe main induding debris dearing or
root cutting and to mairrtain#he water service curb stop box fo�operabitity and at such height as wili ensure that it remairis al�re the finished
grade af the land or property. {Ref 638,1156,1191)