Meter Swap � Request Number: 13459
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Public Works Division
Service Request
Problem Address: 1356 Hillcrest Dr Requested�y: Jean Mos�
Departmeat: WA1ER �eSs; 1356 Hillcrest Dr
Fridtey,MN 55432
Problem/Issue: 1NSTALL AMR ME1ER PUcae Number: 763-572-OA24
Sc�edulsd Date: 017-02-24 Schedale�11roe: 08:00:00
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ACITON NEEDED:
Cre�ted by: Beth Kondrick Dat�Crsated: 2017-02-14
ACTI�N T.�EN. �
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Stat�s: 1n Progress Snbmitter Au Be�n r,
CouEaeted
Ds�te Completeds Gompleted by:
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6431 i0nive�sit�Avenue NE �1
Frielley,Nl1�i 55432 � '�,Q �
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,/'"��—�� hereby authorize#he�iiy af Fridley andJor its empioyees to clo what is necessary to
re�lace the water meter. 1 vnderstand that the propesty uwner is liable for the waier line#rom ehe main to the premise and all enterior
�'�arrrbing. (Per City wsle 402.06) i also hold the City�af Pridley andJits employees harmless#or any damages that may occur while doing this
opeeation. This to include,bufi not lim+#ed io va4ves,pipirsg,walis,floors or the turb stop box and service lir�e. In understand I am also requir
to obtain a permit prior to any�rork,if aecessary.
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FINAL METER READINCa(okt metecj � � Y���
Name: �N V � Address�iG/✓ � � V►'�/�� �r
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Phone Number��CJ � ` V -1 � �
�gnature `` Witness Sigr�aivre
OLD METER#�Ip�� ,u Io�
OLD iiEAD[fYG� �J� 1 ��D
NEW METER#" t r'� �� i� J
NEIN READIiVG v
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FRIDLEY C1TY COD£
CHAPTER 402.WATER,STORM WATER AND SAN1TAEtY SEWER
ADMiNiSTRATION
(Ref Ord No 113,464,565,566,629,638,662,92Z,988,I144,1IS6,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any aratec of sewer line connecting the existing muniapat system and arry house ac buitding for wf�ich the
app(icafiion is made,the owner or cvntractor shal!be required to obtain a permit for sucN connection,and shalt pay a permit fee as provided in�
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Departmerrt shaN be notified. It shall be unta�afiat to cove
any connecting I�ne us�tii!an inspection has been anade and such connection and the work inaderrt thereto has been approved by�te C'rty as a
proper and suitabie wnnection.
402.06 REPAiRS AND MAINTEfNql�CE TO COMNECTIOM
After the initla!connection has been made to the water seroic�e curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the appiicas+t,oarnec,or occuparrt or user of such premises shali be liabie fur�11 repairs
required to any water line and sewer lines necessary fos connection af the premises from the main to the premises, ff the property owner
requests maintenance service or repairs be perEormed by the City,ihe property owner shail be charged for the costs af the mairrtenance and/or
repairs,including necessary sYreet repaivs at a rate set annualiy by an administrati�e poiicy. It shall be the responsbilii,y of tlfe applicartt,
owner,occupant or user to perfosrrs standard mairrtenance vf the sewer service line from the premises to tbe main ancfudng debrts deacing or
root cutting and to maintain#he water service curb stop box for operability and at such heigtrt as wiH ensure that it remairis a6ove th2 finished
grade of the land or p�operiy. �Ref 638,1156,1191)