Meter Swap C
Request Number: 15928
Pul�lic Works Division
Service Request
Problem Aaddress: 111 71 st Way Requested By: Nancy
Department: WATER Address: No address provi�d
ProblemlIssue: INSTALL AMR METER Phone Nusnber: 572-9918
Scheduied Date: 201 -06-13 Schednled 1lme: 11:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201?-06-12
ACITON TAKEN: ':',:E
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Statua: In Progcess Submitter�ias Been r
Contacted
Date Completed: �_ �� ! '� Completed by:
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` w�er eepart�,�n�
�431 l/niversity Avenue NE
Frodley,MN 55432
7�3-572-3566
r`'Ne hereby authorize the City of Fridtey and/or its empioyees to do what is necessary to
repface the wa#er meter. 1 understand that the proyserty owner is tiabte for the water line from the main to the premise and ali iriterior
plumbing. {Per�ity code 402.06) 1 also hold the City of Fridtey and�ts emplayees harmless for amt damages that may occur wh7e doing this
operation. This To indude,but not lim'rted to val�es,piping,wails,floors or the curb stop bax aad senrice line. In u�dersqnd 1 am aiso requir�
to obtain a permit prior to any Mror4c,i#necessary.
FINAL METER READtNG(old meter) � � f `+�-' � �
Name•_1 V��L� Address � � � � � W�J .
Phone Number, ��" � � pa� �^ l��— ��j
F
�ignature �-J�_ Witreess Signature
OI.D METER#_ �� ���
OLD REAC�tNG � � � v��V
AtEW METER#_ `-1�,� � ���
RIEW READINC; � '
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FRIDIEY CITY CODE
CHAPTER 402.WATER,STCIRM WATER AND SANITARY SEWER
ADM6NISTRATION ���.:
(Re#Ord No 113,4b4.56.5,566,629,538,fi62,9Z2,988,I144,1156,1191j
402.5 PER1NlT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house ar buifding for which the
apptication�s made,the owner or contractor shail be required to obtain a permit for such e�nnectian,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shali be natfied, it shall be unlawful to uover
any connecting tine ur�tif an inspection has beeR made and sucfi connection and iF�e work incident fiHereto has been appraved by the City as a
proper and witable co�nection.
402A6 REPAiRS AND MAIAITENAPICE TO COfYtUEGTiON
After the initial connectiort has been made to the water service wrb stop bo�or the sewer lead at the property line ar a water service(ead has
been extended to the prvperty line for connection,the app(icant,ommer,or occupant ar user of such premises shati he tiabte for afi repairs
required to any water line and sewer lines necessary for coenection of the premises from the main to the premises. If the�mpe�ty owner
requests maintenance service or repairs be perPormed by the City,the property owner shall be charged for the costs af the maintenance and/o�
repairs,including necessary sCreet repairs at a rate set annuaily by an administrative policy. !t shait be the responsibility of i�e applicar�t,
owner,occupant os user to perform standard mairitenance of the sewer senrice line from the premises to the main inclu�ng dehris dearing or
root cutting and to mairnain the water service curb stop box for operabitity and at such height as witi ensure that it remains above thefs�ished
�rade af the land or properCy. (Ref 638,1256,1191} +�'
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