Meter Swap F
� Request Number: 13614
Public Works Division
Service Request
Problem Addresa: 6191 Kerry Ln Requested By: David Babb
DeQartment: WA'IEdt Address: 6191 K�rry Ln
Fridlsy,MN 55432
Problem/Iasne: INSTALL AMR ME'IER Phone Nnmber: 612-701-7877
Sche�ded Date: 201'1-02-28 ScLe�led'If�e: l U:34:00
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ACTION NEEDED:
Created by: Beth KondFiek Date C�eate�: 201?-02-23
ACIION TAI�N:
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Stxtus: 1n Progress Sebmitter Hsu Heea �.,,
Co�aeted
Date Completed: Completed by:
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7/we hereby authorize i1�e�i�ty af Fctdley and/or its empioyees to do what Bs necessary
,f reg�lace the water�ne�tec. 1 vnclerstand td�a��he�ropes�y owner as�iable for the brater lir�a#rom the main to�e premise and all irtterior
pluax�dsing. (Per+t'rty code 4�2.06� i also�tald the�ity�F�edley andJ'rts em�sloyees harmless for any damages tf►at rxaay�ccur whife doing t
o�Oerxtion. T4ais to�nctude,4�ut noit 9ira�'rted to valves,P�F���uvaffs,#loors or tt�ae�curb stop�ox and serv6ce fine. In�nderstan am also a�ec
to al�taisa a gee�mi�t pr"sor�to any�ror4c,�t�ecessaee`e
F9NAL NIETER I�EADI�iCa�afd meterj �D�� ��
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lYame:_, ��\ Address
Phone Aiumber��j���f��� pate �� ��`�
Signature Witness Signature
OL[?MET�R����J'��" ���,��
OLD R£ADE�G��iQ���
4VE�iV MECER#`��� ����
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FRIDLEY CDl�if�CDD£
CH�►P'�'ER af12.INA1'Eli,STOR6V!WQ►7,�'ER R141fD SANCi'ARY SEWEIt
ADMl9NlSTRATaOfot
{R�f Ord�10 I23,�,565,�66,629,638,�62,92Z,988,i144,i156,1291j
4Q2.S PERMIT FEE
Prior to constra�ctiag or�^epair of any wafier af sewer Rne cflnnecting the exisfing rr�unicipai system and arry house or bui[dtng for wf�sch#he
applicarfiion is nrtade,the oeAmer oa contractor shaif be�equired to abfiain a perrroifi for such connection,and shall pay a permit fee as provided
Chapter 1�of�this Code, After such conr�ection has 6een made,t6e gl/ater and Sewer Department shald i,�e notified. lt shai!be untawfu;#o co
any connecting tine uatil�n�nspection has 6een made and such conoect3aa and the wos�incicterrt thereto fias been approYed by the City as�
proper and suitable connection.
402.06 REP;A►iRS AND�iA1f11TEN�1RICE TQ CfJ91110[ECi'IQPI
After the initiai connecCion has been made to the water senrice curb stop box or the se�arer lead at the property iirte or a water s�rvice Iead 1r
been exfiended to fifse property line for connedaan,tt�e applicarrt,owner,or occupasst o�r aser of such premises shaU be liable for a0 repairs
required to arry water line and sewer lines necessasy for connection of the premises from#he main to fihe premises„ tf the property o�wner
reyuests mairrtenance service or repairs be perFormed by the City,�ae property owner shall be charged far the�sts of the mairrtenance and/
repairs,inciucRirag necessary street repa;r��#a rate set annualty�an administrative porc+�. ft shatt be the respansbility of the applicarr�,
owner,occupant or user to per�rorm standard mairrtenance of t�te sewer service line from the premi�es to the main iacluding debris deacin�o,
raofi sufiting and to rrraintain the water service curb sfiop box for operabiliiy and at such height�Writi ensure that�t remains abo�re the finishe�
grade of the�aad Qr propetty. (Ref 638,1156,1191]