Meter Swap � Request Number: 13256
Public Works Division
Service Request
Problem Address: 1050 Lynde Dr Requested By: Walter H�son
Department: WA'IER Address: 1050 Lyade Dt
Fridley,MN SS433
Problemll:am: INSTALL AMR METER Pirone Nnmberz 763-571-2602
Schedaied te: 2017-02-09 �Schedaled 11me: 1I:30:00
(� l. '
ACTION NEEDED:
Created by: Beth Kon�ick Date Crexted: 2017-02-03
i
ACTION TAI�N:
._._.___ __.�.._._ _ ._._.._._____.....__.___�__..._ ;
St�us: la Progress Snbmitter Hae Heen �.,
Contacted
DAte Compieted: Completed by:
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�43�.i7�sar�ersityr a4�r�naae 6V� /
Fr°sdle�,MP! 55432 � L � � � �'� �
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!I� hereby authorize the Lity of Fa�idiey and/or its emPioyees to slo whafi ds necessary
t� replace the wa$er meter. 1¢�nderstand t�hat#he propeai.y owner u liable for ttte water line�rom the main to#he premise and all ir�terior
F��+'i's�{ng- ��Q�'�rt1+��fe 4q2.06� 3 also hold the�Fty a�#Feidley and/its empioyees harmless#or any damages titat may Otqar while doing tts
oper,ation. This�0 9nclucle,bu$nak 8im�ted 3o valves,piping,utaUs,floors�r#he s:urb stop k�ox and senrece line. Ire�nderstand d am a{sa req�
to obtain a permit prsor fio any�er�r4c,6f necessary.
�ara.at.�nerE ING(old mefierj V � � Y���J�./
Name: e ` Address �O �
Phone Num6er �'cJ ��/�� �CO��te � •. �
Stgnature=� � �"'"�-- YYitness Sigpature_
OLD NiETER# ���� f�
�LD RfA,DtAIG���''���
NEW M€TER# ������
NEW READl�lG �
ERT# �� � "' ��� .
FR(DLEY CfCY CODE
CHAPTER 402.WATER,STORM WAITER R1ND SANIi'ARY SEWER
ADMI9�ISTI2ATtON
(Ref Qrd NO 113,$64,565,566,529,638,662,922,988,1144.,1156,1i91}
402.5 PERMIT FEE
Prior to constructing or repair aF arry water vF searer iine connecting tFie exisdag municipat syste�n and arry hat�se or buikfing for which the
appiication is made,the owner ar comxactor shail be required to obtain a permit for such connection,and shali pay a permit fee as provided i
Chap�ter 11 of ihis Code. After such connectiort has been made,ti�e Water and Sewer Departmert shali he natified. k si�atl be uniawfui to co+
any connecting tis�e until an i»spectivn has been made arul such connection and the work inaderrt thereto h�been approved try#he Crty as a
proper and witable connection.
402.06 REPAiRS AND�(AIP1'TEti(pfYCE T�CONMECTION
After the in�tial connection has been made to the rvater service curb s#op boK.or the searer lead at the property iine or a water serviae lead#�a:
been exfiended#o the property lir�e for connection,the appiicarrt,owner,or occuparrt or usec of such prernises shafi be Itabie for aii repairs
tequired to arsy wafier fine and sewer iines necessary fvr connection af the premises from the main to the premises. lf the pro�rty o�rner
requeses matrrCenance senrice or repairs be performed by the C�ty,the proper�y owner shati be charged for the costs af tfie mairrtenance andJ+
repairs,including necessary street repairs at a rate set annuaily 4r�an administrative policy. it shaD be the resper�sibility of the applicarrt,
owner,occuparrt or user to perform standard maimenance of the sewes senrice line frorn fihe premises to the main induding debris clsaring or
root cutting and to maintain#he water service surb stop box for operability and at such fieight as will ensure Ehat it remains above fihe finishec
grade af tfie land or property. {Ref 638,1156.1191J