Meter Swap '� Request Number: 13515
� Public works Division
Service Request
Problem Address: 1021 Lynde Dr Requested By: Walter Jones
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-0337
Scheduled Date: 2017- 23 Scheduled T'ime: 11:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-02-16
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
2.- 2�- 1� 1��1�
5431 dJnive�-sity�1ver��ae�1�
Friel[sy, NlA1 55432 j�
763-572-3556 �� ���a�
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�9/'A°� her�by authorize the�it�r a#Fridley andjor its employees to sio what ds ner.essary 4
regalace�he water rneter. 1�nderstand that the property owner 9s liabie for the eerater line from the main to the premise and ali interioe-
� turralsin
� � g. (Per C"rty cosle 402.06� 3 also hold the Cit�of Fridley and/its em}�loyees harmless for any damages that may�tcur while doing tF�i
operaYion. This�o enclude,but raot lira96#eel io valves,p9ping,walls,floors or the curb stop box and senrice lir�e. In understand�am also a�equ
to obtain a permit prior to any wor�c,if necessary.
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F9NA1 fVfETER READING;aIc(meterj �� ��g r/LJ
Name:�� � 5 Address�� ���. ��
Ptaone Number Y�� � r' 2`' ��
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Signature Witness Signature
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CI-BIAP�'€!8 402o1NATE9i,S7'ORN! U�/A.�'E4i AfiID SANITAR�f SElItifER
ADN11S�i&STRATI&�N
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402.5 PERM9T FEE
Prior to constructing or repair of any water of sewer iine connecking the existing rnunicipat system and any nouse os building for which the
application is rriade,the owner or contractor sha(I be�equired to obtain a permit for such connection,and shall pay a permit fee as provided ii
Chapter 11 of this Code. After such connection has been made,fihe W ater and Sewer Department shali be notified. It shail be uniawfui to cov
aray connecting line untii an inspection has been dnade and such connection and the worfc incident thereto has 6een appro�ed by the City as a
proper and suitable connection.
402.06 REPAIRS AfVD 911fAINTEIYANCE TO CONAtECTION
After the initiaf connection has been made to the water servace curb stop boK or the sewer lead at fihe property iine or a water service lead has
been extended zo fihe property line for connectian,the applicarrt,owner,nr aecupant or user of such premises shalt be liable for all repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. if the property owner
requests main#enance service or repairs be performed by the City,the property owner shall be charged f�or fihe�osts of the maintenance and/a
repairs,inciuding necessary street repairs at a rate set annuaily by an administrative policy. It shatt be the responsibility of the applicant,
owner,occupant mr user to perform standard maintenance of the sewer service line from the premises to the main ancluding debris clearing or
root cutting arad to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains a6ove the finished
grade of the land or property. (IZef 638,1156,1191)