Meter Swap � ` Request Number: 16480
Public Works Division
Service Request
Problem Address: 1520 Rice Creek Rd Requested By: James Dahl
Departmeirt: WA'IER Address: No address provided
Probtem/Issue: INSTALL AMR METER Phone Number: 763-5?1-5203 �
Scheduled e: 2017-07-28 Schednled 13me: 01:30:00
- � ,3
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-26
ACTTON TAI�N:
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Status: In Progress Submitter Has Been r
Contxcted
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Date Completed: �� 1 ��1 r� Completed by:
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�43�. l�niarersity�1,v�enue NE
Frasfl�y,i1A9V 55432
763-5T2-3566
�l`"re herei�autho�ze the�ty o�f�ridtey and/or its employees to do what is necessary to
repiace the water anet�r. 1 understand that the Property owner is liable for the water{ine from the main to the premise and all iriterior
plumbing. (Per�Lity�ode�02.06) 1 also hold the City of Feidley and�ts employees harmiess#or any damages that may occur wh7e doing this
operation. This to include,but not limited to v�lves,piping,walis,Noors or the curb stop box and senrice line. in understand I am also require
to abtain a permit prior to any work,if necessary.
FfIVAL METER READING(old meter) � �3✓ "` �
Piame: G�'�5 �U��' Address 1'l� F-��� UT'C�'i� `1`''�—
Pho�e Number��� J� l ` ��� a� �"��,�"-- 1;�
ignature ��l�% Witness Signature _"'
OLD METER# � ✓ � �� �i'
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OLD READING _ � � ✓� �D lJ
NEW IVtETER#_ � G 1 �� � �� �
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FRtDIEY CITY CODE
CHAPTER 402.WA3ER,STORM WATER AND SANITARY SEWER
ADMlNISTRATIOA!
(Ref Ord No i13,454,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to consCructing or repair of arry water of sewer I�ne connecting the existing municipal system and arry hause ar buiiding for which the
application is made,the owner ur contractor shatt!�e required to obtain a permit for such co�nection,and shait pay a permit fee�provided in
Chapter 11 of Yhis Code. After such connecCion has been made,the Water and Seurer Departmer�t shall6e natified. It shait be untawfu4 to cove�
arry connecting line until an inspection has been made and such connection and the work incident tftereto has been appraved try t(�e Crty as a
proper and suitahfe connection.
402.06 REPAIRS AiVD MAINTEPIAPICE TO CONNECTtON
After the initial co�nection has been made to the water service curb stop hox or the searer lead at the property line or a water seryice dead has
been extended to fihe property line for connection,the applicant,owner,or occupant or user of wch premises shaU be iiabte for a{t repairs
required to any water fine and sewer tines necessary for connection of the premises from the main to the premises. if the properiy owaer
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/ar
repairs,including necessary street repairs at a rate set annually by an administrative po{icy. It shali be tF�e respansbility of the applicarrt,
owner,occupant or user to perform standard maintenance of tf�e sewer service line from the premises to the main including debris clearing or
root cutting and to maintairs the water service curb stop box for operability and at such height as wili ensure that it remai�s above the�inished
grade af the tend or properiy. (Ref 638,1156,119Ij