Meter Swap . Request Number: 13225
Public works Division
5ervice Request
Problem A�ddresa: 5691 Regis Dr Requested By: Jo}m Ward
Departme�: WA'TER Address: 5691 Regis Dri�e
Fridley,MN 55432
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� Problem/Issue: INSTALL AMR METER Phone Nnmber: 763-574-9612
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:,`;�Feheduled Dat : 2017- - � Sc6edaled Time: 11:0(1:Q0
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ACTION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-02-02
ACTION TAI�N: ���
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St�us: In Progress �1�mitter Has Been �..,
Coututed
Date Completed:a — �— � � Completed by:
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�43�.i9niv��si#vl 1�1o�e�aue 6V� ^
�rdeiA��y,MP� 554�2 ��� '� � ��
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- �/tA°� her�by authorize#he�ty af Fridtey and/or its empioyees to aio what is necessary
repiace che water meter, !�nclerstand tha#the propea�ty owner as liable foa�the+erater(ine frrom the mais�to�ae premise and ail irnerior
plur►�bing. {Per City�ode�02.06� i also itold the City�f Fridiey andJ'rts emptoyees harm{ess#or any damages tFsat may�ccur urhite s�oing t!�
operation. This#o include,bufi raot Bimitecl to�alves,p�ping,wa{Is,f�oors o�the curb stop box and service lir�e. In understand!am also req�
to otxtaira a perrn"rt prsor to any�ror4c,sf necessary.
Fl9VfAL METER READING�oki meter) � � � ( �
�ame: ,�!�V I.h (/l��L. /�ddress_.1� 1.'� �� �S n/^.
Phone Wum6er� � "��7� ~G�'7� — � —" �� ,
Signate�re iNi#ness Signature ��
o�nner���__�OG � /t �� .
oLD��AD��G �2 �'z ��
NEW METER#�� Gv� 6��
NEW READING �
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fRIDLEY Clli'Y CODE
CElAPTER 402.WATER,STORM W�TER AND SANITARY SEWER
ADMIAtIS!'RA'{'{ON
(Ref Ord No 113,4�t,565,566,624,638,662,922,988,1144,1156,1191j
4!02.5 PERMIT FEE
Prior to constructing or repair ofi any water of sewer tine connecting the existing municipal system and arry house or buildir�for w6ich i�e
app(icaCion is made,the owner or cornractor sha(i be required to obfiain a permit for such cannection,and shaU pay a permit iee as provi�ied i
Chapter 11 of th'ss Code. After such connection has been made,the Wate�and Searer Department shall be no�tified. tt shaii be untawful to co�
arry connecting iine until an inspection has 6een made and such�nnection and#he worec inciderrt thereto 6as been approved by t�e Crty as a
praper and su�table connectian.
40Z.06 REPAtRS AIOtD M�11tV1'EptqNCE TO COAINEC7'10N
After the initial connecCion has been rnade t�o the water service curb step t�ox or ti�e server lead at the property{i�e or a�ater sQrvice 1e�ad}�a;
been extended to the property fine for conneccion,the applicarrt,owner,or accuparrt or user aF such premises shait be iiat�e for ap repairs
reqeaired to any water line and sewer lines necessary#or conr�ection of the premises from the main to the premises. tf the pro�efij ov►ner
requests mairrtenance sesvice or repairs be perFormed t�y the C'ity,the property o�vner shali be charged for the costs af the mainter�r�e and/,
repairs,incfuding necessary street repairs at a rate�t annuaily!ry an administrative poPry. tt shal!be the responsibiiity of the appf'w�wr�t,�,
owner,oc�uparit or user to perform sfiandard mairrtenance of the sewer service line from the premises to the main dncluding debris dea0rin�.or
root cutting and to mairrtain the water seruice curb stop baK for uperability and at such fieight as wili ensure thaC tt remains above the f�nishec
grade of xhe land or property. �Ref 638,1156,1191J