Meter Swap �- '"'` Request Number: 13308
Public Works Division
Service Request
Problem Address: 1249 Hillwind Rd Requested By: Mark
Department: WA1ER Address: No a�d�ess provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-202-0533
ScLeduled Date: 2017-02-10 Schednled'iime: 02:00:00
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Created by: Beth Koudrick Date Created: 2017-02-06
ACTION TAi�N:
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5tatua: 1n progress Snbmitter Has Been r
Co�ncted
D:te Completed: Completed by:
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�437.i�niv�rsi�tyr/�1ven�ae N� � �; ,� � �'� 1
Fradley,lltll�l 55432
753-a72-355� '� � � _y � ��� � �. _ �,��� _/
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� �/N°� hereby authorize#he C"rty af Fatidley and�'or its empioyees to s!o mrhat is necessary
replace#he water meter. 1 understand ti�a#�(ae property owner is 3iab{e for the mrater Iine fre�om ehe main to ihe premise and ail errterior
plumbing. (Per C�ty code 402.06� i also hold the City trf�cidley and/'rts employees harmless#or any damages that may�nccur�hiie doeng tF
operation. This to snclude,but no�t Bimited io values,pipin�walis,floors or the curb stop hox and senrice�ine. ta understand 1 am a{so req
to obtain a permit pn"or to any aror4c,if necessary_
FINAL METER READING(old meter)_������v
l�iame:-�=W�Y F—� Address�_� l � � G��/l3t Y1� �
Phone Number " ������ 2 r � �- �,�
Signature W�tness Signature
OLD METfR#� J�� � �P�
OLD READtfVG_� !���.-�
1�PEW METER# ���� �-/1
NEW READIl11G �
E�tT# � � � `�' C���� '
FRiDLEY CITY CODE
CHAPTER 402.WATER,SfORM WATER AND SANITAttY SEWER
ADMIAIISTRATION
�RCf OPd NO 113a 4�64'S65�56b'629�638�662�$ZZ�988�I144�I156�1191}
402.5 PERMIT FEE
Prior to constructing or repair of any water aF sewer tine connecting the existing rr�uniapat sys#em and any F�ause or building fo�wfiid�the
application is made,the owner or contractor shall be required to o(rtain a permit far wch connection,and shali pay a�rmiT fee as pr�tded
Chapter 11 af#his Code. After such connection has been rnade,the Water and Sewer Departmertt shal!be netified. tt shai!be uniawfu!to co
aray connecting iine uM�7 an inspecfion has 6een made and such connection and the wordc inaderrt thereto has been approved by f�e C'rly as a
proper and suitable connection.
402.06 REPAlRS Atiyp MAIyVTENpyyCE TO CONNEC170N
Atter the inifiia(connection has been made to the water senrice curb stop box or the sewer tead at the property iine or a water service lead ha
been extended to the pro�erty line for connedaon,tfie appiicarrt,owner,or occupant or user of such premises shatl be lial�e{br al�repairs
required to ar�y water line and sewer lines necessary for connection vF the premises from the main to the premises. tf the property ormer
requests mairrtenance service or repairs be perEormed by the C"rty,the proper#y owner shatl be d�arged fo�the c�sTs of the mairrtenance and/
repairs,including necessary street repairs at a rate set annualfy by an administra#ive pol'�y. R shall be the respoosbilfity of the applicarit,
owner,occupant or user to perform standard mairnenance of the sevrer servsce line from the premises to the main induding debris dear3ng o�
root cutting and to rrrairrtain the water service curb stop bou for operability and at such height as wiil ensure that it remains a6ove fihe finishec
grade of#he land or property. (Ref 638,1156,1191�