Meter Swap � Request Number: 15960
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Public Works Division
5ervice Request
Prohlem Address: 7838 Firwood Way Requested By: John Soule
Department: WATER Address: No address provi�d
Problemilssue: INSTALL AMR METER Phone Number: 572-9666
Scheduled Date: 2017-06-15 Sc6ednled 1lme: 09:OO:OQ
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ACIION NEEDED:
Created by: Wendy Hiatt DaEe Created: 2017-06-13
ACIION TAI�N:
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Status: In ProgXess S�sbmitter Has Been r
Co�acted
Date Completed:�` �� � �� Completed by: ����
�ity of�rcd�ey �� �ov �<��`� ^�!
NVates-�epartm�n� (�
- ` 6431�niversi#y Avenue N� J Q� �/�.,jli�
Frotliey,MN 55432 v `Z
7C3-572-3566
rl�Ne here6y authorize the City of Pridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is{iable for the water line frnm the main to the premise and afl interior
plumbing. (Per�City code 402.06j i aiso boid the Cit3/of Fridtey and�ts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,pip�n�wal{s,floors or the curb stop box and servtce line. In understand i am also require
to obtain a permit priar to any wark,if necessary.
F1NAL METER READtAtG(old sneterj � 1 � � �" �
Name•
0� �1''L'�� Address � . � �}
Phone Number �� `� �� p� �.P " � �" �
�Signature N Witness Signature +�
OLD METER# � � ` �� � �
OlD READING � �� � �`�v
w�w�nerFR� '�1 l o�-�o �jo2/�
NE1Rl READlNG v
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FRIOLEY Cf�'Y CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMfNISTRATION
(IRef Ord No 113,464,565,566,629,638,662,922,988,i144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting#he existing muniapa{system and arry house or buiiding for which�e
application is macie,the owner ar contractor shaff be required to otrtain a permit fos such connection,and shail pay a permtt fee as provided in
Chapter 11 of ghis Code. After such connection has been made,the Water and Sewer Departmerrt shaif be notified. tt shal[be unlawful to cover
any connecting tine until an inspection has been made and such connection and the work inciderrt thereto has been approved bry the City as a
proper and suitable connection.
402A6 REPAIRS AMD MAINTENANCE TO CONNECTION
After the initial tonnection has been made to the water service curb stop box ar the sewer tead at the property line or a water service fead has
been extended to the property IPne for r.onnection,the applicarrt,vwner,�r occuparrt or user of such premises shatl be(iai�le for ali repain
required to a�y water line and sewer fines necessary for cortneetion af the premises from the main to the premises. !f the property owner
requests mair�tenance servlce or repairs be perPormed by the City,the property owner shail he charged for the costs of the mairnenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It sha116e the responsibi{ity ofi the applicarK,
owner,occuparrt or user to perform standard maintenance of the sewer seraice line from the premises to the main including ciebrts dearing o�
root cutting and to mairrtain the water service curb stop box for operability and at such height as wi[I ensure that it remains above the finisheet
grade af the(and or property. (Ref 638,1156,1191,