Meter Swap Request Number: 13287
Public Works Division
Service Request
,m A+ddress: 1140 Lynde Dr Requested By: Michelle
1>..Qartment: WA'IER ��.ess; 1140 Lynde Dr
Fridley,MN 55432
Problem/Iasue: INSTALL AMR METER Phone Number: 952-452-3154
Scheduted Date: 2017-02-14 Schedoled T[me: 09:00:00
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ACIION NEEDED:
Cres�ted by: Beth Ko�ick Dnte Created: 2417-02-06
ACTION TAI�N• �
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sr�us: Tn Prqg�ress sul�ttter Hi�Beea �.,
Coutacted
Date Compieted: Completed by:
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�,1A°� hereby authocize the�'�ty�E�rislley and/or its empioyees to do what es necessary
replece khe wafier rnetec. i understand that the property owner 6s liable for ttse serafier fine from the main to�he premise and ali iMerior
plurr�bing. (Per Citq cosle 4A2.06j �also hnld the City+rf F�idley and/'rts empioyees fiarmless fior any damages that may occur�uhile doing tF
operation. Tfiis go inctude,?bufi noe lam'rted to valves,piping,walls,�loors or the curb stop box and service line. In understand 1 am eiso req
to obtain a perm'rt prior#o any�eror4c,�f necessary.
FBA(AL lkiETER READIAiG(old meterj t�� F y �
Name: ����Y�v'�, Address � ( � � ` � �
Phone Num6er�'J��� J r� p� v`� �l.-� — �
Signature "'---
1Nitness Signatt�re _._..--
ULD MET�R#_� �� �V rv
OLD READtNG (,�t'�, �� �Q
IIiEW MET£R# '"�� W � � �� �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMINtSTRAi'IUf1t
�Ref OPd No 1130 464�565�566'629�638�662,922�988�I144�I155,1191}
4�2.5 PERMtT FEf
Prior to constructing or repair vf any water cf sewer line conneding the euisting snunicipai system and arry house oc buiidir�for which the
agplication is made,the owner or corttractor shall be required to oSrtain a permit for such connection,and shall pay a pe�rnit fee as provided
Chapter 11 aF 1�Fs Code. After such connection has been mac{e,fihe Water and Sewer Departmerrt shaU be notified. !t sha►!be unfawful to ca
any connecting line uatil an ictspection has 6een made an+d such connection and the wordc inciderrt thereio has been approved by the City as a
�roper and suitabte connection.
402.06 REPAIRS AP1D MAINTEfl�pfyCE TO COMNfiCTION
A�er the initial connection has been made to#he water service curb stop box or the sewer lead at fihe propec�ty iine or a wacer service lead ha
been extended to the property line fvr connection,the appiicarit,owner,or occupar�t or user vf such premises shati be I[abie for ail repatrs
cequired fio arry water line and sewer tines necessary for connection of the premises from the mai�to the premises. ff the property owner
requests maimenance seroice or repairs be performed by the C'rty,if�e property owner shat!be charged for fihe cvsts afi ihe mairrterrance and/
repairs,inciudi�g necessary street repairs at a rate set annuaify by an administratiwe pol'ycy. R shati be the responsbitiiy of the appiicant,
owner,ocEuparrt or user to perform standard mair�tenance of the sewer service line from the premises to the main inclu�ng debris dearing o�
roat cutting and to mairrtain the water service curb stop box for operability and at such heigFrt as will ensure that it remairis a6ove the ftnishec
grade of#he tand or property. {Ref 638,1156,1191)