Meter Swap � Request Number: 13378
Public works Division
Service Request
Problem Address: 1165 Regis Ln R,equested By: Tim Coleman
Department: WATEIt Address: No address provided
ProW emlLssue: INSTAL,L AMR METER Phone Nwnber: 763-6T0-2131
Scheduled Date: 20 7-02-16 ScAe�ted 7ime: 01:30:00
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ACIION NEEDED:
CreaEed by: Wetdy Hiatt Date Created: 201?-02-09
ACTION TAKEN:
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Status: ,. In Progress 5nbmitter Has Beem r
Co�acted
Date Completed: Compteted by:
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tAiate��e�sat�ene�tt
�431.�1niv�ssityr�,�rene.ie!VE �� (.� :� � ` ��
Froelley, Nll�t a54�32 t
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y�'"°� hersby autharize the�Lity of Fridley andJor its empioyees to slo what is necessary ta
replace the water meter. 1 understar�d that�he property owner is Eiable for the+erater line from the main to the premise and aN irrterior
piurrabing. (Pex C'rty cosfe�i02.06j i also ho9d the Crty�f��idiey and/its employees 4�armless#oe any damages tfiat may occur rorhile daing this
a�eration. 7his#o�nctude,but no4lim'rtecf to valves,�iping,waUs,floors��#.�e s;urb stop box and service line. tn understand�am aiso requi�
to ohtain a permit prio�r#o any wor�c,if�ecessary_
FBAtAL METER READtNG�old meter) � 4 Y� � t./�.J
�1ame��Y� Address �Cy�b 1� ^
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Phone NumBes-���(�����31, Date !�� "�-�r
Signature Witness Signature
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9VEW METER# �k� V�� C/ ��
NEON READIPIG �
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FRtDi.E"Y CfT'Y CODE
CHAP3ER 4�02.WATER,STORM WATER AND SANITARY SEWER
ADN!!lYiS'tRAT10N
(Ref Ord No 133,464,565,SS6,629,63$,562,922,988,1144,IIS6,119i}
4Q2S PERMIT FEE
Prior to constructing oc repair af any water of sewer i�ne connecting the existing municipa[system and arry house or buifding for w6icfi the
application is made,tt�e awner or cor�tractor st�tail be s�equired to obtain a permit for such mnnection,and shalt pay a�rmit fiee as provided in
Chapter 11.of this C+ode. After sucfi connection has been rs�ade,t3�e Water and Sewer DeparEme�rt shaii be nat�ied. !t shafl be uniawfut to covE
any connedisig ljne urrCil an inspect�vn has been made and such connection and the work inciderrt theretn has been approved by the City as a
proper and saitable connection.
402.05 REPA(RS AMp RAAl1�tTENAi1tCE TO COPfNECTIQN
After the initiat connection has been made to ttse water service curb stop box or the sewer lead at che praperty iirm or a waters�rvice lead has
been extended to the property iine for connection,t.6e appiicarrt,owner,or accuparn or user af such premises sha!!be Ifabie for ail repatrs
required to any water iine and sewer lines necessary tor connecCion of the premises from the main to the premises. !f the pioperty owrter
requests mairnenance senrice o�repairs be performed by the City,the property o�rner shatl be charged for the tosks af the st�airrtenant�and/a
repairs,inciuding necessary street repairs at a rate set annuaity by an admin�strative poficy. R shai!be the respansibility of the ap�carrt,
owner,ocEuparit or user tv perform standard mairtCenance af the sewer serwice line from t�e premises to the main includir�delaris dearing or
root cutting and to main�Cain the wafier service curb stop box for operability and at sucfi height as wiil ensure that it remains above the finished
grade af the�and ar property. �Ref 638,1156,1191�