Meter Swap 1
• Request Number: 15924
Public works Division
Service Request
Problem Address: 455 79th Way Requested By: Frank Pomeroy
Department: WA'IER A,ddress: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Namber: 763-784-9338
5cheduled Date: 2017-06-13 Scheduled 1ime: 11:30:00
`�,�, � J;
ACTTON NEEDED:
Created by: Beth Kondrick Date Created: 20 U-06-09
ACTION TAI�N:
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Status: 1n Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
D� �13/l7
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�i#y o�Frad9�y ��7 ` �J'� y� /� — v�
` HVa�er�e{pa�t�at�nt
� 6431 l�niversity Asrenue IYE � � ���Q
Fradley,MN 55432
7fi3-572-3565
�/"'�e hereby authorize the Crty of Frid(ey and/or its empioyees to do what is necessary to
replace the water meter. i undersiand that the property owner is iiable for the water line from the main to the premise and all interior
plumbing. (Per Zity code 402.06j 1 also hold the C"rty of Fridiey and/'�ts employees harmless for any damages that may ocwr while doing this
operation. This to indude,(wt not limited to valves,piping,walis.floors or the curb stop box and service line. In understand l am also requirE
to obtain a permit prior to any wortc,if necessary.
FINA!METER READING(otd meter) �������
Plame: Address �S �
Phone 9Yumber p�
Signature Witness Signature
o�o n�er�R#_ �1,�Sy a �1
O!D READING _ o'Z��[�,�
NEW METER# �� ���Sa
NE114�READlNG D
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FiiiDLEY CITY CODE
CHAPTER 402.WATER,STOR1Ut WATER AND SANITARY SEWER
ADMINISTRATION
(�def Ortl NO 113r 46$�565�566�629�638,562�922�988�1144�1156�1191)
402.5 PERAAIT FEE
Prior#o constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buiiding for which the
appitcation is made,the owner or corrtractor shall be required to abtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be nofified. It shall be untawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approred by the Ciry as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEPIAMCE TO COPINECTION
�,�:,: After the initlal connectiort has been made to the water senrice curb stop box or the sewer(ead at the property line or a water service iead has
`' been extended to the property line for connection,the applicarrt,owner,or occapar�t or user of wch premises shall be liable for alI repairs
required to any wafier line and sewer lines necessary for conneetion of the premises from the main to the premises. tf the property owner
requests mair�tenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenartce and/or
repairs,i�cluding necessary street repairs at a rate set annually by an administrative poliry, it shali be the responsibility of the applicar�t,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris dearing or
root tutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains above the finishec!
grade af the(and or property. {Ref 638,1155,1191)
r
Request Number: 7726
Public Works Division
Service Request
Problem Address: 455 79th Way Requested By:
Department: WATER Address: No address provided
Problemllssue: WATER MAIN BREAK Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED: Water main break.
Created by: Wendy Hiatt Date Created: 201404-03
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Compfeted: � Corr�leted by: ,�l y�,�� �p,� �
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