Meter Swap Request Number: 13149
Public Works Division
Service Request
Problem Address: 7698 Bacon Dr Requested By: Bruce Milliam
DepartmeM: WA1ER Address: 7698 Bacon Dr
Fridley,MN 55432
ProblemlIssue: INSTALL AMR ME1ER Phone Number: 763-784-2799
Scheduled Date: 2017-02-03 Sc6edaled 11me: 11:30:00
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ACIION NEEDED:
Cre�ted by: Heth Kotdrick Date Created: 2017-01-27
ACIION T ��
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Status: In Pro�ress ���er Aaa Been �
Contacted
Date Compteted: Completed by;
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�tase��epart�ve�aat
�431�Jsadv�rsity Avea�ase 6Y� C (� � o��
Fr6cltey,61/!N 55432 cJ
, Tf3-5?2-3566 b ��� l l � � — /
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. 'A'"�� hQreby authorize the�ity o#Fridiey andJor its emp(oyees to do ovhat Ps necessary to
repiace the water rneter. I understand that�he propea�ty flwner is iiabie for the+nratee line from the main ta the premise and a{I irrterior
pturrebing. (Per C�ty sode 402.�Q6) i also hold the City,�f�ridtey and�ts emp{oyees harmtess for any damages that as�ay occur while doing this
operation. This to anclude,bufi n+ot limited�to xatves,p�ping,waiis,floors or the+�urh stop box and service lia�e. !n understand 1 am also requir
ta obtain a permit prior to any�vorlc,'sf necessary.
�F9AIAL t1AETER tiEAD1NG(oic[meter} � •�� \'��
1ltame: � T �..�ae..� �����`(��(V1 Address��� �� ��
Phone Ptumber K/�� L�J-1.���� pate �� ,��, ~ `�
Signature Witne�Sig»ature
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OLD READIt1fG � ` l � ��(�`-�
t1iEW METER# +tEJ�� t�
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FRfDLEY CiTY CODE
CHAP'TER 402.WATER,S'i'ORM WATER AND SANITARY SEWER
ADMtNlSTRATf04�t
{Ref OPd NO 1Z3�464�565r 56G�629�638�662�92Z�988�1144�1156,1191j
402.5 PERMiT FEE
Prior to mnstructir�g or repair of ariy water af s�ewer line conrfectirig the enisti�g muniapaf system arnl am/bouse o�6uitdir�for iw(�ich the
application is made,the owner or wrrtractvr shalt be required tv alrta+n a permit for such connection,and shali pay a permit fee as provided irr
Chapter 11 of this Cnde. After such connection has been made,the Water and Sewer Departmer�t shall be nofified. t�shait be unfaurfut to cove
any connecting line ur�til an inspection has 6een anade and such connedion and tfie wo�lc inciderrt thereto has been approved by the City as a
proper and witable connect'san.
402.06 REPAIRS AND 1UfAINTEAIANCE TO CONNECI'10�1
AfCer ihe initial connection has been made to the wafier sesvice curb stop box or the sewer iead at the property line os a water service lead has
been extended to the propesty line for cannedion,tE�e applicarrt,owner,or ocrupan#or user aF wch premises shal{be IiaMe for ail repairs
r�quired to any water line and sewer lines necessary for c�onnection of the prers�ises from the main to the premises. tf the property owner
requests mair�tenance senrice or repairs be perFosmed by tfie C'ity,ihe pro�e►ty owner sha{I be charged for the costs af the maintenance�and/a
repairs,inctuding necessary y-treet repairs at a rate set annuaily by an administrative policy, 1t sha4i!�e the responsbiliry of the applicartt,
owner,occupar�t or user to perFosm sCandard maintenance vf#he sewer service tine from the premises to the main ancluding debris dearing or
roat cutting and to mairrtain the wa#e�service surb stop box for operability and at such height as wtit ensure that it remains a6ove the finished
grade of the land or property. (Ref 638,1156,1191)