Meter Swap . Request Number: 13569
� Public works Division
Service Request
Problem Address: 1204 Regis Ten Requested By: Jemry Fie
Department: WATER Address: No address ptovided
ProblemRsa�e: INSTALL AMR METER Phone Number: 651-249-9017
Schednle�Date: 2017-02-23 Sched�iled Time: 07:OO:QO
3� rn
A�1 NEEDED:
Creattd b�r: We�y Hiatt Date�res�ted: 201�-02-21
ACTION TAKEN: ,,,,_„ � �
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Status: In Progress Submitter Hss Been r
ContActed
Date Co�pleted: �� a"3��� Completed by: ���� �
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Fr�dbey,MP1 55432 � ?�
763-572-3556 �� �o�f
1/�ve �
her'eby authoeize the Cifij a#Fridley and/or its emp�oyees to do what ds necessary�o
replace the water meter. 1 understand tha#the propee�Ly owner is liable for the�erater line from the main to the premise and al{interior
• pPurrebing. (Pec City s.ocle qp2,p6) 3 also hold the City af Ecidley and/'rts empioyees harmless#or any damages that may occuc white c{oiog tfiis
operation. This to�nctude,but not lim�ted 3o valves,piping,walts,floors o�the�urb stop box and service line. In understand!am also reyuir
to obtain a permit prio�r to arry wor�c,if rtecessary.
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Ftt1[A!.METER REqpING(old mefierj � ✓`� " ��
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Phone Num6er��1"•vc yq—�(9�`� � v
Date __� ��'LJ "_ �—f
Signature Witness SignaCure '�^
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FRlD[EY CITY CODE
CHAPTER 402.WATER,STORM WATER A�ViD SANiTARY SEWER
ADMil111STRATION
(Ref Ord No 113,464,565,5fi6,629,638,662,922,988,I144,1L56,1191j
402.5 PERAAiT PEE
Prior to constructing vr sepair of any wa#er af sewer line connecting the exisiing municipal system and arry house or buiidir�for which the
appitcafiion is made,the owner or corrtractor shal(be required to obtain a permit fos suth connection,and shali pay a permii tee as provided in�
Chapter 11 of this Code. After such connectivn has been made,the Water and Sewer Departmer�t shall be noti�ed. tt st�ait 6e uniawfui to ccn�
any connecting line until an inspection has been made and such connection and the worac inaderrt thereto has been approred iry the City as a
proper and witable connection.
�02.06 REPAIRS AND MA1ti111'ENqNCE TO CONIYECTfON
After the inifiiat connection fias been made to the water service cu�b stop box or the sewer lead at the property line or a water service Iead fras
bee�extended to the property{ine for connection,the ap�licant,owner,or accuparrt or user aF such premises shall l�liabie far ail repalrs
required to any water line and sewer lines necessary.for connection of the premises from the main to the premises. If the properly rnyner
reques#s mairrtenance service or repairs be performed by the Cityr,the properry owner shali he charged for the costs of the maiM�nanee and/or
repairs,inctuding necessary street repairs at a rate set annuai[y!iy an administrative policy. R shal!be the responsibititq aE the a�licarrt,
owner,oscupant or user to perform standard mairrtenance of#he sewer service line from the premises to the main includi�debris dearing or
root cuiting and to mairrtain the water service curb stop box for operability and at such heigfrt as wi11 ensure that it remains above the fintshed
grade af the land or property. �Ref 638,1156,1191)