Meter Swap E
' Request Number: 15961
Public Works Division
Service Request
Problem Address: 7990 East River Rd Requested By: Richard Lamdorff
Department: WATER Addreas: No address�xovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-6831
Schednled ate: 017-06-14 ._..� ScheduledTlme: 09:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-13
A ON T�:
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Status: In Progress Submitter Haa Been r
Contacted
Date Completed: Completed by:
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���,����;ar�Y �4 �— � ,��2 D �- ?�l
w�ter�e�a�r��n�
' �431!lniversity Aver�ue NE � � i,f 6 ?'�
Fr�clley, NON 55432
7b3-572-3566
t/we hereby autharize the C'rty of Pridley andJor its empioyees to do what is�ecessary to
replace the water me�ter. t understand that the property�aurner is liable for the water line from the main to the�remise and all tnterior
piumbing. (Per City cade 402A6j f also hold the City of Fridiey andPts employees harmless for any dasnages that may occur wfi1e doing this
operatiun. 3his to include,but not lim'rted to valves,piping,wal[s,floors or the curb stop box and sennce tine. in understand f am also requirE
to obtain a permit prior to any worh,if necessary.
FINA!ME'1'ER READ{NG(old meter) r� ��Q
Name: � ��, Address_���� ��� �`1�rGi ��
Phone lYumber !t!J " 1� `—'Cp� � '��-- t�
� Si nature Witness Signature ��
o�D ���R� ����2a I
OLD READING � ����4
NEW METER#"'y-1�/� �X.1��
PlEW READlNG�
E�#_�1��L`�-� � I $
FR[DLEY CITY CODE
CHAPTER 4�02.WATER,STORM WATER AND SANlTARY SEWER
ADMlNISTRA710N '�
(Ref Ortl No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer iine connectin�#he existing municipaf system and�rry fiouse ar 6uifding for which the
application is made,the owner or cor�tractor shafl be required to abtain a permit for sucEr connection,and shall pay a perm�t fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Departmerrt shall he notified, ft shall be unlawfuf to cover
any connecting tine until an inspection has been made and suth connection a�d the work incident thereCo has been approred by the City as a
proper and suitable connection.
402.06 REPAIRS AMD MAINTENARICE TO CONNECTtQN
After the inifiial cottnection has been made to the water service aarb stop box or the sewer lead at the property line or a water servicae lead has
been 2xtended to the property line for connection,the applicarit,vwner,or occuparrt ar user of wch premises shall be Ifable for atl repain
required to any water line and sewer lines necessary for connection o#the premises from the main to the premises. tf the pe�vperty owner
requests mairrtenance service ar repairs be perFormed by the City,the property o�rner shall be charged for the cosk5 of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. it shall be the responsibility of the appl[carrt,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main includi�debris dearing or
root cutting and to mairrtain the wa#er service carb stop box for operabili#y and at such height as wiil ensure that it remains abave the finishec!
grade af the tand or property. (Ref 638,1156,1191j