Meter Swap � '�` Request Number: 13696
Public works Division
Service Request
Problem Address: 1401 Kerry Circle Requested By: Di�e
Departme�: WATER Addresa: 1401 Kerry Circle
Fridtey,MN 55432
Problem/Iss�: INSTALL AMR ME1ER Phone Number: 763-502-8100
Sc6ed�led Date: 201�-03-01 Seheduled 11me: 08;3Q:00
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AC"I�QN NEEDED:Or cell��612-802-3b07
Created by: Beth Kondrick D�C�e�ed: 2017-02-28
ACTION TAICEN•
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Status: In Progress 5�bmitter�t Been C,
Coat�ted
Date Completed: Completed by
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f � '� ',�°� hereby autfiorize#fie�LFiy a�f�ridley and/or its ernployees to do what ds necessary t
. replace the water�neter. 1 understand that the propesty owner 9s tiable tor the+erater line from the main to the premise and ail iriterior
plurrrbing. (Per Crty coate 402.06� �adso hald the�ity of Fridley and/'rts empioyees harmless#or eny damages that may occur�hite doir+g thi
operation. Ti�tis#0 9ncfude,l�ut no+t liani#ed to valves,p�ping,watls,floors or the svrb stop box artd service line. In�rndersta !am also requ
to o�taira a permrt�rior io any ieror�r,if necessary. �
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FIAIAI-�AAETER READfNG(oid meter)
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Name• Address �' 01 �.r l �{�'
Phone Number / � C�4�/v—'� ``"`' '�
Signature '"'{ C._./' Witness Signature _
OLD A9ET�li# ��� � �j�
OLD READlNG�—1� � 1��
'l�iEYV ME7'ER# � YV����.J
11tEW REAf�NVG �
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FRDDLEY CITY CODE
CHJ4P�'ER 402.WATER,STORM WA,TER AAID SANRARY SEINER
ADMIlYtSTRAT{ON
{Ref Or+d 6Yo 113,464,565,�66,629,538,662,922,988,I144,1156,1191j
402.5 PERMlT FEE
Prior fio constructing or repair af any water uF sewer iine connecting the exisfing municipa(system and arry hau�or buifding fo�w6ich t�he
application is made,the ows�er ar cantractor shaii be rec�uired to abtain a permit for such wnnection,and shaU pay a permit t�ee as provide8 ii
Cha�ter 11 of this Cade. After such connection has been made,the Water and Sewer Department shali be aa#tfied. tt shal{be unfawfut to cov
any connecting(ine uMil an inspection has been made and such connection and the wordc inaderrt thereto has Eseen approved by the Cifij as a
proper and witabte connection.
402.06 REPAlRS qWD lMIAI{y7'E�ypIyCE TQ CQNNECfl0l1�
After the initTal connection has been made to the water service curb stop box or the sewer kad at the propertY line o�a water seryice lead�as
beer�exfiended#o tt�e property tine for connection,the applicarrt,owner,or occuparrt or user of such premises st�aq be liaf�ie for a11 repairs
required to arry wa#er line and sewer lines necessary#or�connection of the premises from the rr�ain to the premises. tf the pr�er�y oMrner
requests mairr#enance service o�repairs be perFormed try the Ciiy,t�he property awner shall be charged for the costs of the matntenance andJo
repairs,includirag necessary meet repairs at a rate seC annuaily by an administrative poficy. It shall be the responsibility of the app6carrt,
owner,occuparrt or user to perForm standard maintenance of the sewer service line from the premises to the main aactuding debris dearing or
root cutting and to mairrtain the water service curb sfiop box for operability and at such height as wili ensure that it rernains above#he finisfied
grade of the land or prvpecty. {Ref 638,1156,1191j