Meter Swap .. � Request Number: 13235
Public Works Division
Service Request
Problem Address: 5666 Matterhorn Dr Requested By: Carl Jotmson
Department: WA'lER p�.eSg; 5666 Matterbm Dr
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-2364
&hedule�Date: 2 7-02-08 � Scheduled T1me: 11:00:00
6
ACIION NEEDED:
Created by: Beth Kondrick Date Cre�ted: 2017-02-02
ACIION T
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543�.i�a�ev�a�sit�r Arre��ae N� � `.�':� '��'� T`-
Frielley,MI� 55432
7�3-��z-���� � I ���y �3 �yc�.�v�
' �I�°� hereby authorize#he�iiy a�f Fresiley and/or its empioyees to slo what ds necessary
replace the wafier rneter. t understand that fihe�ropee-ty owner 6s Siable for the water line from 2he main fio�e premise and all Interior
plumbing. �Per City sode$02,06� i also hold the���f Fridley andfrts empioyees harrnless for any stamages tfiat may occue rrhi{e doing th
apera�tion. This xo 6nslude,l�ut not 9�mJted 3o valves,pipin�wafis,floors or the s:urb sto�O b�ox and service lir�e. In undersfiand�am also req+
to obtaira a permit prio�r#o any�eror9c,�f�ecessary-
FIti1tAL�ltEl'ER READING�o! mefier)
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�tame: 'C�Y.. Address
Phone cYumber___ . Date �� �` �
S"ignature Witness Signature
OLD METER#_� �� �� �
OLD READtNG � 1� �� ��
t�iEW METER# �`�' YV �� 1� —1
NEW READ161{G
ER�#� � �1��� �
FRDDLEY C17Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
aonna�vasrR��otv
(iief Ord No 113,4fr4,565,566,629,638,662,922,988,i144,1156,1191]
402.5 PERMIT FEE
Prior to constructing or repair of any water af sewer line connecting the existing municipal system and arry hause oc fwildin�for which the
appiicatron is made,the owner or wrnractar sha11 t�e required to obtain a permit for such connection,and shali pay a permit fee as pmvided i
Chapter 11 of this Code. After such wnnection has been made,fihe Water and Sewer Departmer�t shall be notified. it shall be unlawful to crn
arry connecting line uriti!an inspection has been anade and such wnnection and the wor�c inaderrt thereto has been approved by the�j as a
proper and suitable connection.
402.06 REPAlRS AND MAlRfTEty/�WCE T�CONNEC77UN
After the initiaf coonecfiion has been made to the Mra�ter serv�ce curb stop box or the sewer tead at the propecty iine or a water service lead ha:
been exfiended to the property line for connection,the appiicarrt,owner,or accupartt or user of such premises shall be!'a�abie fpr all nepairs
required to any water line and sewer lines necessary#or connection of the premises from the mai�to the premises, fF the property ormer
requesCs mairrtenance senrice or repairs be perFormed by the C.iity,the property owner shall be charged for the costs ef#he maintenance and(<
repairs,includirig necessary street repairs at a rate set annual(y by an administrative poiiry. it shali be the responsbiiPty o#the applicarrt,
owner,occuparrt or user to perform standard maintenance of the sewer service l�ne#rom the premises to the main�nclu�rig debris deart�g or
root sutting and to mairrtain the water service curb stop box for operability and at such height as witl ensure that it remains abmre the finisl�ec
grade of#he land or property. {Ref 638,1156,1191�