Meter Swap 1
Request Number: 15688
Pubhc Works Division
Service Request
Problem Address: 640 Dover St Requested By: John Steffens
DepArtment: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nnmber: 763-464-9226
Scheduled Date: 2017-06-21 Schednled Tlme: 07:00:00
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ACTION NEEDED:
Created by: Beth Koncirick Date Created: 20 U-06-O 1
ACIION TAI�N:
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Status: In Progress Sabmitter Hxs Been �.,
Contxcted
Date Completed: Completed by:
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�6fy o�Fr�dley 3l/�'� L�� ! t V � ��
+ Wa�er�e�artrvtent � � l 0'u
- ��t31�niversity Avenue NE d -�
Fr6dtey, MAt 5543Z
7fi3-572-3566
�/""�� hereby authorize the C'rty of Fridtey and/or its employees to do what is necessary to
replace�he water meter. 1 understand fihat the pro�erty ow�er is Bia6Ee for the water line from the main to Lhe premise and all9rrterdor
ptumbing. (Per Cifiy code�02.06j B�iso hold tfre Gty of Frisitey and�ts employees harmtess for arry damages that may accur while doing this
operation. This to inc(ude,but nat limi#ed ta va(ves,piysing,wal[s,floors or the curb stop hox and senrice line. In understand t am also requin
to abtain a permit prior to any worlc,if necessary.
FtNAt METER REAtttN6 Soid meter} ��� ��
Name• ��� c3� v��� "'' � Address °—' "�' ��"�� �
Phone 94umber J" —{�'' '~ pa� �t"�--- �
�Signatur rtness Signature
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OLD METER# �J f/ 1 6 l��
OLD READtNG ��� � K'�✓
��w M,��R��Lqb�2�1`��
NEW REA�iWG�
ERT# � � �2����
FRtDLEY t;lTY COOE
CHAisTER Q02.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATfON �
{�ef OCd NO 113,4�64,SfiS,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer tine connecting the existing municipal system and any house or hui(ding for which the
application is made,the owner or contractor shatl iae required to abtain a permit for such connection,and shali pay a perm'rt fee as provided in
Chapter 11 of this�ode. After such connection has been made,the Water and Sewer Depar�tmerrt shatt be notified it shal!be uatawfut to cover
any connecting line urrti!an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAIN?EtYANCE TO CONNEC770fi1
After the in+tiai tonnection has been made to the wate��rvice curb stop box or the sewer iead at the properiy line ar a water service tead has
6een extended to the property line for connection,the appiicarrt,owner,or occupant ar user arf swch premises shail be tiable for ali repairs
required to any water tine and sewer{ines necessary#or connecCion of the premises from the main to the premises. tf the property awner
requests mairnenance service or repairs be performed by the City,the property owner shali be charged for the costs vf the mairrtenatsce and/ar
repairs,inciuding necessary stneet repairs at a rate set annually by an administrative policy. !t sfiait be the respons�bitity of Ehe appiicant,
owner,occupant or user to perforrc�standard mair�tenance of fihe sewer servsce line from the premises to the main includPng debris dearing or
root cutting and#o maintain the water service curb stop box far operabitity and at sucfi height as wil4 ensure that it remains above the finished
grade af the tand or property. {Ref 638,1156,s�.ni�