Meter Swap .
. Request Number: 13228
Public works Division
Service Request
ProW em Address: 5659 Regis Tr Requested By: Mazilyn Malo�
Dep�rrtme�: WATER ��.eSs; 5659 Regis Tr
Fridley,MN 55432
ProblemJfssue: INSTALL AMR METER PLone Nnmber: 763-571-6466
Scheduled Date: 2Q1'7-02-03 Schednled 1lme: 07:i10:00
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ACIION NEEDED:
Lresited by: Beth Kon�ick Date Cre�ed: 3017-02-02
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At.'TION TAI�N:
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Status: 3n Progress ��tter Has Been r
Cont�ted
D�te Completed: �.- �� �'� Compieted by: ����
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�433.i9ni�r�rsii�l��e�aae 6V� � �, '��L�� /
F�i�dley/,6V6PJ 55�32 \ /
, 763-5?Z-�s56 � �� _ 1--1 U I � / � �- � � �
' �j'"°� hereby authorize#he�'riy af Fa�idtey andJvs its emptogees to s!o sArhat ss necessary
regalece the water meter. ��nderstand that the g�ropea•ty awner u liabie for fihe sarater line�rom the main to�tee prers�ise and aii ir�terios
�lurrebing. (per Crty cos9e�2.06j i also hold the e'rt�f�f F�idiey andJ"rts emplsayees harmiess#or any�!a►nages thaC may occur whi{e do'sng th
operation. This#o inctude,b�xC notc Bimrted to valves,p9ping,watis,ffooe�s os tdae curb sCop box and service line. In undersfiand I am also a�eq�
io otatain a permit prsox�to any�or9c,if�secessary.
FHNAL lYIETER ttEAD1NG�old mefiecj � � V �� `�
lYame: 1`�1 Q,1/`Y`` � V1 �'U'Kl�"I' Address s�5 y ��� ��:
Pfione Number t�w ✓— � v'` �L�� p� '�— �'^ ��
Signature Wgtness 5ignaturs
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OLD METER# � � C / ����
01.D READ[NG ��� J ! C/
1VEWMETER#__ � � t � � � ��
NEW READIR/G v
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fRIDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AND S1kNCCARY SEINER
ADNI{NtSTRA'f10N
(Ref Ord Irla 113'464�565��66'629�638r 662�922�988'11�44�I156�1191�
402.5 PERMff�EE
Prior to constructing or repair of any wafier af sewer tine connecting the existing muniapat system and arry house oc buiidir�for rrhicFr'�e
appticativn is made,the ewner or corntractar sha(16e requared to obtain a permit for�.rch connection,asxl shaA pay a permit fee as provideci;
Cha�#ec 11 af this Code, At#er such connection has been made,ifie Water and Sewer De�►arfiment shall be nalafied, tt sha��pe uniawfu{to crn
any coanecting(ine urnil an�nspection has 6een made aod such connectioa and#he wor�c inciderrt thereto has been ap�by the C'.rry as a
proper and sui#abte connectio�e.
402.06 REPAiRS ARlD M:AI4MTEAIANCE TQ CCItMKECTt�11
Atter the initia(connecCion has been made#o the waber service curb sEop box or fihe sewer�ad aC the property itae or a uvater senmae iead tia:
been extanded to fihe property line fvr conned3on,#he applicart,owner,or acce�pan#or usec vf such premises shalt be t�bis for ap repai,s
requiresf to arry water line and sewer lines necessary for conneckion of the premises from the main to the premises. ff the property owner
requests mairrtenance service or repairs Ise performed by tEie C'ity,ifie proper#y owner shalf be charged for ihe�of the nwirner�a+�andJ<
repairs,inciuding r�ecessary sfireet sepairs a�a rate set annuaily by an administrative palicy. It shall be the respvnsibility o#the a�licarrt,
owner,accupant or user to perform standard mairiten�nce o�F the sewer service line from the premises to the main andudi�c�ebr3s dearir�or
roat axtting and to mair�tain the water service r.urb stop box for opera6ility and aC such height as wili er�ure#hat it remaim a6ove i�e finishec
grade af the land or property. {Ref 638,1156,1191�
R�que�t f�r �r�c:� R+�p�rt
C�ty of Fridiey
Re#erence No: �Q2-12-A4d8 Q�e: 3119lZ012
Request T�rpe= Eir�d�eane�d�check C�ty blain E��red By: Wendy F��t
�p;ar#me�t: 5e�cer C�z�t��e: M�y B�ed
Ad�� 5659 R6C1�TRL NE C�a�k Pt�cu�e: 7G3-571-�96�
Sc�r�duled D�#e= Property�:
Loc�ic�n[�a�s: � [)eta�s. F�loa�owr�x is Fw�r�g lirre ci�ar�d
torr�t_
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