Meter Swap Request Number: 16502
� Public Works Division
� Service Request
Problem Address: 6014 Woody Ln Requested By: Mutriadin Hassan
Department: WATER Address: No address�ovided
Problem/Isaue: INSTALL AMR METER Phone Number:
Scheduled Dute: 2017 3`L Scheduled 1ime: ' 07:30:00
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� _.a ACITON NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-28
ACIION TAI�N:
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Status: In Progess 5ubmitter Has Been , r.
Contacted
Date Completed: Completed by:
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643�l7neversity Aerencae NE
, Froclley, M1V 55432
7�3-5�2-356�
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'SW� hereb+�authorize the City of�ridtey and/or its employees to s1a what is necessary to
replaca the water meter. l understand fihat the property rnarner is 9iable for the water line from the main to the premise and a{l ir�terior
plumbing. �jPer City code 40Z.d16) I eiso hoid Che C'rty of Fridley and(�ts employees harmtess for ar�y daena�es that may occur while doing this
operation. This to include,but not fimited to va(ves,piping,wat[s,#loors or the curb stop box and service line. tn understand i am also requirE
to abtain a permit prior ta any war&,if necessary.
F9NAC METER READING(old meterJ � ��� �1,./
Name:�)�-�C�/�,►'Y\ �—L��V' 1 Address �
Pho�e 9Yumbec p�� � � 1 '� ��
� Signature Witness Signaivre �
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OLD METER# 1 v < � �—� Z���Z � -/
OLD READtNG � � (�� �V
NEW METER# � + ✓�5�� I
NEW READING O .
ERT# � (�-��� ��
. FRtD1.EY�ITY CODE
CHA�TER 4�OZ.WATER,STORM WpITER AND SANITARY SEWER
ADMlNISTRATION
(�tef Ord Na 113,464,565,566,629,fi38,662,922,988,1144.1156,1191)
d02.5 PERMIT FEE
� Priac to�onstructing ar repair of any water af sewer line connecting the existing municfipaf system and arry house or buitding for which the
application is made,the ow�er or contractor shail fse required to obtain a permit foe such connection,and shatl pay a permit fee as pro�ided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shal[be nofified. It shall be unlawful to cover
a�y connecting line until an inspection has 6een made and wch connection and Che work incident thereto has been approved by#he City as a
proper and suitable connection.
402.06 REPAIRS A4YD 1VIAtP1'fE1MANCE TO GOPlItiECT10N
After the initiai co�nection has been rr�ade to the water secvice wrb stop box or the sewer iead at the property line or a water service dead has
been extended to the property line for�onnection,the applicant,owrter,or occuparrt or user aF such premises shall be liabie for ali repairs
, rsquired to any water line and sewer lines necessary for cannecttort af the premises from the main to the premises. If the property owner
requests mairrtenance service ar repairs be performed by the�ty,the p�operty owner shall be charged for the c�sts of#!�mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. {t shall be the responsibility af the applicarrt,
owner,occupant ar user#o perform standard mair►tenance of the sewer service line from the premises to the main including debris ctearing or
root cutting and ta masrrtain the water service curb stop box for opera6itity and at such height as w+il ensure that it remains above the finished
grade of the tand ar property. (Ref 635,1156,1191j