Meter Swap �„t Request Number: 13250
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Public works Division
Service Request
Problem Address: 990 Hathaway Ln Requested By: Tom Reed
Departme�: WA1ER Address: 9���
Fridley,MN 55432
Problem/Isaue: INSTALL AMR ME1ER Phone Number: 612-913-2821
Sekeduled 2017-02-10 Schednled 1lme: 09:fl0:00
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ACIION NEEDED: a
Cre�ted by: � Beth Kor�drick Date Created: 2017•02-03
ACTI+UN TAt�N:
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Stat�: In Progress Submitter Haa Been �.
Contacted
Date Completed: a� �V '^ � / Completedby: �
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�432.i�a�dr��rsrty�Ave�aae Pi� � C�. ,� � I I
�rialle�,61r1P! 55432
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�� ,/1A°� her�6y authorize ttae City uf�a�idley and/or its empioyees to sio what ds necessary
f replace the water meter. 1�nderstand tt�at�he propeafij owner u siabie for the s�vater ifne#rom ehe main to�he premise and a{i interior
,plumbing. (Per City code 4�D2.05� i adso hold the�Gity�f Fcidl2y and/'rts errspioyees harn+less for any damages tFaat may�ccur while sloing th
opecation. This#o incttade,4�ut no�lim�ted To vaives,piping,walis,floors or tlie curb stop 6oz and service line. In undes�stand I am a{so req+
to obtain a permi�prso�r to any�eror4c,�f r�ecessary.
F111fA1.�riETER READING(o!d meter) �`� ��� a
Name: ��W�• �,'e`�� Address { t� �-�J^'�v`'w��l �-
Phone�tumber��Z " �«'' 2,t7�� Date �� 4lJ � L�,
Signature YY'�tness S"rgrrature ��
o,� M�-�R�_t�� �0 l�`�
OLD RfADli11G_����� (/(�
t1iEVIP METER#_ 1 V / �� �� i
NfW READIt11G v
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�RIDLEY Cf1fY Ct�DE
CHAPTER 402.WATER,STORM WATER A1rID S,�1NiTARY SEWER
ADM14Y4STFiAT1+ON
(6tef Ord No 113,4�,§6S,�66,629,538,66Z,922,988,I144,1156,1191j
402.5 PER9VIIT PEE
Prior to constructir�or cepair oF ar�y tvater of sewer iine cannecting the existir�g municipai system and arry iwuse oc buildir�g for iw[�ich the
application is made,the ownQr or cvrrtractor shatt be requieed to obtain a�ermit for sucEt connection,and sha(1 pay a permit fee as provided i
Chatster 11 of this Code, After such connection has bees�made,tiie Water and Sewer Deparhnerrt shall i�e n�tfied. It sttiail be untawful to co�
arry conneding[�ne u�rti!an irrspection has been made a�d such connectian and the work inaderr�thereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND�RAtNTENAAICE TO C01MPtECTiQN
After the ini#iaf connertion has been made to the waber service curb stop box or the sewer lead at the properCy line or a wafier�nnce lead fw;
been extended to fihe propet�ty(ine for connedion,the applicarrt�oevner,vr accupast as user aF such premis�es shatl be iiabie f�al�repairs
required�to any water line and sewer ltnes necessary#or connectior�of the premises from the maia to the�mises. !f#he property errner
requesfis maicrtenance service or repairs be perFormed by the C'ity,the property awner sFia11 be charged for the tosts af ihe maicrtenaca�as�d/,
repairs,includin�necessary sEreet repairs at a rate set annually by an adminis#ra#ive poftcy, �t sha!!be#�e responsibil'rty af the appTicarrt,
owner,occuparrt or user to perform sCandard maimenance csf the sewer service tine from the premises to the maFa tnciudis�g c�bris dearir�g or
root cutting and to maisitain tfie water service curb sfiop box for operahility and at sutfi heigfit as wili ensure that it r+emains a6ove the fFnishec
grade of the land or property. {Ref 638,1156,1191)