Meter Swap = Request Number: 13270
.
Public Works Division
Service Request
Problem Address: 5701 Regis Dr Requested By: Jim Leggatt
Department: WA'IER Address: 5701 Regis Dr
Fridley,MN 55432
Problem/Tsane: INSTALL AMR METER P6oee Number: 763-571-5500
Sct�edul Dxt : 2017-02-1 ��5chedaled 11me: 09:00:00
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ACIION NEEDED:lnstall AMR
Created by: Beth Kondrick Dnte Crexted: 2017-02-03
AC'IION T ���
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Stat�: In Progress ���er Hns Been �
Coatacted
D�te Completed: Completed by:
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��43��l�iv��-sifi�Aver��ae Ri� �
�riddey,MI�! 554�2
763-572-�55+6 r� �' c �=1� �
�o,�� .� 1 ��y � � � ����' f f� �i
'�° her�by authorize the�'rty a�f�r►tUey and/or its empioyees to sfo what 6s n�cessaey
regrlace The wrater sneter. a�nderstand Lhai fihe pro�aeah:y oeerner is d'+abie for the wa�ter line from the snaic�9:0�fie premise and aU interior
` ptur►�atsing. (Per City cosie 402.06� i also hold the C'rt�of Frid4ey and/6ts empbyees harmiess for erwy slamages ttezt rtsay sxcur while sloing th
o�oee�tion. '�O�ais go�ncPude,but not limitecl+�o vaives,piPin�walis,fl�ae�s or the curb sto�o boec and servics lie►e. in undsrstand!am also req9
to od2tain a permifi prior to any wor4c,sf necessary.
F9ti1PAL NIECER READI4�G�oid meter) �� ` " � � �
Hame: '��` � Address�_j_4� ��5 �
Phone Atumber�� ��✓ �tJ p�, 2� t �O � `�
5"ignature
W�tness Signature
OLD 11I�ET�R#��,D� �-^-���
o���D��G!��a 1 I � �
NEW METER#-��/ ��/�� ��
MfW READtiVG O
ER'�"# � � a/� �o c-al.J C� .
�RlDLEY Cl�f CODE
CHAPT�R 402.WATER,STORM IiYATER AND SANITAEtY SEWER
ADMINiSTRATiQN
(Re#ard No 113,464,565,�66,524,fi38,662,922,988,i144,I156,1I91j
aoz.5 PEttMfl'FEE
Privr to canstructing or s�epair of ar�y water of setver I�ne connecCing the e►cisting muoicipai spstem and arry t�use or bui�ng for whi��e
a�pli,cafiion is made,the owner or coM•ractor shail be required to obtain a permit for such c�nnection,as�d shali pay a perrtdt fe�as provided;
Chapter 11 of this Code. After such connection has been rnade,t6e Water and Sewer Departmer�t shall be notified. (t shatl be untawFu!to crn
aray con�ect�ng(ine uritit an inspectsan has been made and such connection and the wor�c incident#hereto has been appr�ved by the(�iy a,a
proper and suitabte cannection.
402.06 REPAiRS Al+iD MAt11tTENARICE TO CONrfECTiON
After the inetia(connectiort has been made to the water service u,rb stop box or the sewes!e�!at ti�e property line or a water service tead Fia
been extended to the property fine for conned3on,the ap�iicarrt,owner,or accuparrt or user of such premises shail be fiable far aq t�epairs
require+d to any water line and sewer lines necessary#vr,connection of the premises from the main to the premises. tf the�xOperty�mer
reyuests maimtenance service or repairs be perFormed by the C'�ty,the property awner stiati be cfiarged for the casts of the mai�tenanc�e aney�
repairs,including aecessary street repairs at a rate set annualfy by an administra#ive pol�cy. R shat!be the s�esporuibiiity of d�e agppcarrt,
owner,oceuparrt or user to perform standard mairrCenancs aE the sewer service iine fram the premises tv i�e maia indudir�debtis deac�r�g or
raot cutting and to mairrtain the wa�ter service curb stop bax for aperability and at such height as wili ensure tfiat it remains above the finisfiec
grade of the land or property. (Ref 638,1156,1Y91)