Meter Swap < Request Number: 13321
Public works nivision
Service Request
Problem Addresa: 5790 Matterhom Dr Requested By: Von
Department: WATER Addreas: No address provided
ProMem/Is:ne: INSTALL AMR METER P6one Number: 574-1078
Schedaled at • 2017-02-15 � Schedeled 11me: 10:00:00
ACTiON NEEDED:
Crexted by: Wendy Hiatt Date Crerted: 2017-02-07
ACIION TAI�N:
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Stataa: In Progress ����er Ha�Bcen r,
Co�acted
Date Completed: �_ � � .�- �� Completed by: ��A �
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Frie9ley,MN 55432 �
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• �,�e hereby autfiorize the Crty af Fsidley and/or its empioyees to slo what ds necessary
re{alece the water�neter. �understand ti�at�he proper�ty owner as doable for the water line frrom the main to the premise and al!Fmerior
ptumbing. (Per C"rty code 4�22.06� �also�hold#ie eity�f��idley and�ts employees harmless for aey damages that may accur rerhile doing tF
o�eration. This to 6nctude,but root Iimi#ecl�o vaives,piping,urails,floors or the curb stop box and service line. In understand 1 am also req
to obtaira a permifi prior�a any 7eror4c,�f necessary.
iF1AtAL METER READIAiG�ald mefier) ��v G �l.,f�V
�a�: �o►� �� 5 7�v wt.�erl�r� �r.
Phone Number �� l "� �� �� Date o'-�✓ �� � �
S"igrtature .�-
INltness S�naGure
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OLD READING�3��63C� Q
NEW METER# ���� � � ��
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FR(DLEY CITY CODE
CHAPTER 402.WATER,STORM WATER R1ND SANlTAitY SEYVER
ADMINISTRATION
tRef Ord No 113,4&4,565,566,629,638,662,922,988,I144,1156,i191}
402.5 PERMtT FEE
Prior to sonstructir�ar repair of any wafier of sewer line connecting the exisfing muniapat system and arry house oc buildir�for Yrhich the
apptication is made,the owner or corrb�actor shall be required to obtain a permifi for such connection,and shalt pay a permit fee as provided
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shal!be notified. It shall be untaarfut to ao
any connecting line ur�til an inspection has 6een made and such connection and the work inaderrt thereto has been aqproved by the Clty as a
proper and suitabte connection.
402.06 REPAIRS qD{p MAIyyTEpIqNCE T�CONNECTION
After the in'rtiai connestion has been made to the water seruice airb stop box or the sewer lead at fihe property tine.Qr a�rater service lead ha
been extended#o fihe property line for connedion,the appiicarrt,owner,or accuparrt or user of such premises shaf��iabie fur adl repairs
required to any water line and sewer lines necessary#or+conRectian of the premises from the main to the premisee�. if the property ormer
requests maintenance seroice or repairs be performed by the C'rty,tFae properlyy oxrner shali be d�arged for the tosts af the mairrtenance and/
repairs,incfuding necessary street repairs at a rate set annualfy by an administrative poliry. R shatl be the responsbi!'rty of the applicar�,
owner,occuparrt oruser to perfiorm standard mairitenance of tfie sewer service tine from the premises to the main dnduding debris dearing rn
rvot cutting and to mairrtain the water service r.urb sfiop box for operabilit�and at such height as wili ensure thaC it remains above the finishec
grade of the land or property. (Ref 638,1156,1191J