Meter Swap �
t Request Number: 13269
Pubtic works Diviision
Service Re�est
Problem Address: 5651 Regis Dr Requested By: Nga Tuyet
Depsrtme�: WA1ER A�ress: No address provided
Problemllssue: 1NSTALL AMR ME1ER P�one Number: ?63-400-014'7
5ci�cduled Dxte: 2017-02-13 Scheduled 1lme: 10:00:00
G �
ACIION NEEDED:
Created 6y: Wendy Hiskt DAte Cre�ed: 2017-02-03
ACIION TAI�N:
� e�
Status: In Pro�ress Sabmitter Haa Been �..
Coatacted
IMte Compteted: � � �3'� ` / Completed by:
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��31�dnivsa�sit'r�1v�±�,�ae�1� �(� � -1 ./ � �
Friclley,!Ul�+1 5 a�32
763-572-3565 �"�
� � t�d -`( .3��� - ; �
�JtA°Q hereby atrthorize the�iiy of Fridley andjor its emp(oyees to do whafi ds necessary
` re�slace the water meter, i understand that�he gro{aeety oarner is diabte for the�erater line from ehe main to ihe premise and ai1 imterioc
pfurrrt�ing. (Per City cosie�02.06j 0 aFsv�aoid the�it}/of�sidley andJ'its�mployees harmless for any�Jamages that may,nccur�erhile doing tF+
o�oeration. Tfieis#o inctucle,but no#limrted�o vafves,piping,walis,FDoors or the curiz sCop box and seruice iine, in understand d am also req�
to obtaira a perenifi priax#o ar�y�eror4c,�f�ecessary.
FltvAl N1E7ER READiRIG�nld meter} L L lU ��C./
Name: iv��"' ��^'`/G '7� address � �J � �'�''�`�l`J �j�',
Phone 4Yumber `�3 " (!�6 ^ ��L� I p� �� � �3 ' 1�
Signatwre �•
Nl�tness 5ignature
ULD M1E'9'ER#_����(y(J ,��
OLD READIMG� L�O` �D
�,Ew M�r��# ��`�b � $ � � --
�vFw�Ea�t�r� Q .
��T� -Z1a1 � � 73 �
�Rio�r ci�r coDE
CHAP3ER 402.WATER,S[ORM WATEli Atti(D SAN17'ARY SEWER
ADMItY1S7'RA'1'RON
{Ref Ord 1�fo 123,4�64,565,566,529,638,662,922,988,IL�4,I156,1191}
402.5 PERMiT FEE
Prior ta cvnstructing or repair of ar�g�water of sewer line connecting Che existir4g muniapai system and arry l�ouse ot buiidingfor which the
appiication is made,the owner or cornractor shalt be requiced to obtain a permit for such connection,ami shall pay a permitfiee as proyided;
Chapter 12 af#his Code, After such connection i�as been made,the Water and Sewer Departmerrt sha11 be notified. k shail be unfawfui to crn
aray connecting line until an inspection�as 6een anade and such connectian and the wor6c inaderrt thereto has been approved by the Gry as a
proper aod suitable connection.
�02.U6 REP�1{RS A1to{D fIrtA1NTENANCE TO CCiNNECi7�t
After the initial connectien has been made to the Water serv�ce curb stop iaox or fihe sewer(ead at the property iine or a water service lead(�a;
been eutended to fihe propertrj line for con�ection,the appiicarrc,owner,or accupars#or user af such premises shail be(iable for afl repairs
, required to any water line and sewer li�es rrecessary for connection of t(�e psers�ises from the main to the premises. !f the property ourner
cequests mairrtenance service oc repairs be perFormed by the C"rty,the property owner shafi be charged for#he casts af ihe mairrtema�aad�t
repairs,inciuding necessary street repairs at a rate set annuafty by an administra#ive policy. !t shall be#�e responsbil'r�y of the appiica�asrt,
owner,occupartt ur user to perform sCaandard mairrtenance of the sewer service{ine#rom the premises to the main tndu�rig debris dearing or
roat cu#ting and to mairrtain the watec service curb stop box for operab�lity and at such height as wili ensure�at it remairrs a6we the fin�C
grade of the land or property. {4tef 63g,1156,1191j