Meter Swap r
Y
Request Number: 13441
Public works Division
Sen�ice Request
Problem Address: 1223 Regis Terr Requested By: Rachel Jorgeffion
Department: WA1ER A�resa: No address provicied
Problemllssue: INSTALL AMR METER Pho�Number: 612-695-6T50
Scheduf e: 201?-03-11 Sc�daled 11me: 10:00:0U
G�� �r � C�V1�
ACIION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-02-13
ACIION TAKEN:
St�us: In Progress ���tter Has Been r
Cont�ted
Ds�te Com�eted: Completed by:
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�Afatea-�e�ar�at'ent
� �4�1.l9niv�rsity 1�ver�a�e 6VE
. Fridleye {U�P! 55432
753-�72-3566
t0"'�� her�by authorize xhe Ciiy�f�ridley andJor its e�mpioyees to sio what Ps necessacy ta
replace the water�neter. I�understand that fihe praperty owner is liable for the Yvater line from#he main to the premise and all infierior
plurrabing. (Per Ciiy sode 4Q2.05� i aiso hold the eity�af Fridley and/its employees harmless#or any damages that may occur whiie sloing th�s
operation. Th�s fio anclude,but not 9irn'rted to valves,piping,wa({s,#7oors or the curh stoP�x and service fine. ln i�nderstand!am a{so reyui�
#o obtain a permit prsa�r to any�aror4:,if aecessary-
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FINAL METER READING�oict meterJ �� V cJ V � � ���,
l�iame:��� �`���Address��_(�� ��j ��✓`�
Phone 4tumber _ IQ.,V�,_-..� V� �p l��Date �( ��( i
Signature Witness Signature__ ��
OLD METER# ���� U ���
OLD REA►Dt1tiG ��� L ���
NEW METER#
N�w R�,flt�rG 48906952 �
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ERtDLEY CiTY CODE
CH�IPTER Q02.WATER,51'URM W,AITER AND SANITARY 5EWER
ADMIAtiSTRATION
�Ref Ord No 113,464,565,566,623,638,662,922,988,1144,1156,i191}
4025 PERMIT FEE
Prior to constructing or repair of any water of setver line connecting the existing muniapaf system and arry house ac buiict�r�for which the
�ppiicatic�n is made,the rn�rner ar cornractor shaf(be required to obtain a permit for wch connection,and sfiali pay a permit fee as proviclecl in
Chapter 11 ofi this Code. After sucf�coneection has been made,the Water and Sewer Departmerre sha11 be naCified. It shail he untawfu!tfl covE
any connecting line unti!an is�speciaon has 6een made and such connection and the woric inaderrt Chereto has been approvecf by the Gty as a
praper and suitabte connectiare.
402.U6 REPAIRS AND�lfA{SVTEAIAf110E TO COAItYEC170N
After the initsal connection has been made to the water service curb stop i�o�c or the sewer lead at the pmperty line or a waier senric�lead has
been extended to Che property tine for cannection,the appiicarrt.owner,or accuparrt or user of such premi�s shall be!ial�ie fvr a11 tsepeqrs
required to any water line and sewer i�nes netessary for connection vf the premises from the main to the prem�ses. !f the propertp owner
requests mairrtenance service or repairs be performed by the City,the property owner shati be char�ed for the costs of tlte maisrteriance and/oi
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shail be ti�e responsi6ility of the applicarrt,
o�.v�ner,occuparrt or user to perform sCandard mairrtenance of the sewer senrice line from#he prem3ses to fihe main indudir�debris dearing or
raofi cutting and to mairrtain#he water service curb stog box for operability and at such height as wili ensure that it rerqairis above the finished
grade of#he�and+or property. (itef 638,1156,1191j