Utility ,
. Request Number: 13670
rublic works nivision
Service Request
ProMem Address: 6105 Woody Ln Requested By: Keith
Departmeat: WATER Address: No address provided
Pro�em/Isaice: INSTALL AMR METER Pho�Number: 612-269-9400
Scheduled Date: 2017-03-01 Scl�edoled'Iime: 07:OU:00
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�cnorr rr�EnEn: �
Created by; Wendy Hiatt Date Created: 201�-02-27
ACIION TAKEN: ,
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Status: In Progress �1�itter Has BeeH n
Ce�rts�cted
Date Completed: 3 -- `--�� Completed by:J�1,L�
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�431 i�niv��sity Aver�we 6Y�
Frielle�,M!4'� �5432
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�/"1°� , hereby authorize t�ae�ifiy af Fridley and/or its empioyees to clo what is necessary 4
re'�alace the water meter. 1 understand that fiMe g�roperty owner�s lia6le to�the water line from the main to t14e premise and all Interios
plurrabing. {Per C�ty code 4�2.05� 3 also hotd ihe�ity of��idley and/'rts employees harmless for arry�lamages t[�at may occur white sloing tfii
a�oee-ation. This to inctude,but r►oS Ysa�lteel 3o valves,piPing,watfs,flooe�s or tfee curb sto�6ox and servdce line. 1n�e�derstand 3 am alsa requ
to obtair�a permit prio�r to any ieror4c,if necessary.
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F9NAt METER READiNG(olcf ineterJ �� r S o S �-
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�iame: t--�r Address � ��J ��'fS(U+�f ��
Pbone Atum6er "��Z-- �`�fi�,— UJ� �� � ^ �, -- ��,�
Signatttt� Witness Signature �"
OLD METEl�# � `�l��
OLD RfADtNG I�VS�
NEYI!METER# !�G�/ `U j�
NEW REAi?tt�tG O
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FR1DlEY CDTY C13DE
CHAPTEI3 402.iNATER,STORM WATER AND SANITARY SEWER
ADMIfdISTRATIOl11
(Ref Ofsl Ato 113,4�64,565,�6b,629,638,662,922,988,I144,I156,I191j
402.5 PERN!!T PEE
Prior to sonstructing ar repair of ar�y water of sewer line connecting the ex�sting municipaf system anci arry house or buildirg for w6ich the
appli,cation is made,the owner or corntractor shatl be cequired to obtain a perm'rt for sucF�connection,and shalt pay a permit fee as provided ii
Chapter 11 of ihis Code, pffter such cons�ection has been made,the Water and Sewer Departmerrt shall be notified. It shatl be untav�rfu!to cov
any conaecCing tine until an inspectio�has been made and such connection and the wordc inaderrt therefio has been approved by the Crty as a
proper and switable connection.
402.05 REPAIRS Ai01D lViA19YTEMANCE TO CONNECTIOIV(
After the initia(cannection has been made to the water service curb stop box or the sewer lead at the prope�ty line os a xrater service lead 1�as
been extended to the property lioe for connection,the appiicarrC,owner,or�ccupant ar user o#sucf�premises shali be iiabie for ail repairs
required io any water line and sewer lines necessary for connection of the premises from#he main to the gremises. If the property owner
reques#s mairrtenance service or repairs be perEormed by the City,the properly owner shaN be charged for the cos#s af the mairitemancae and/a
repairs,including necessary street fepairs at a rate set annually b�►an administrative pol�cy. tt shai!he tl�e responsifait'rty of the applicarrt,
owner,occuparrt ar user to perform standard maintenance of,the sewer service line from the premises to the main�ncluding debris dearing or
root cutting and to maintain the water seruice curb stop box for oE►erahili#y and at such height as wi{I ensure that�t remaitu above the flnished
grade of the land or property. {ReF 638,1156,1191]