Meter Swap Request Number: 16536
Public works I)ivicion
Service Request
Problem Address: 190 Hartman Circle Requested By: Laurie
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 612-554-3461
Scheduted DaEt: 2017- 8-07 � 5chednled 1Ime: 10:30:00
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Created by: Wendy Hiatt Date Created: 2017-08-01
ACTION TAI�N: � r A ^
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Status: In Progress Submitter Has Been �.., '�`
Contacted
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Date Completed: (�`� �� Cqmpleted by: ���
Hoors �� r
� � �ifiy��rael9ey � �' �� /���� ��
b1�a�er Departcaaent ������
� ��€31 l�niversity Avenue NE
Eredley,MiV 55432
763-572-35&6
r�`"re hereby authorize the Caty of Frid(ey and/or its empioyees to do what is necessary to
e2place the water meter. i understand that the property awner is liabie for the water line from the main to the premise and ali itrterior
plumbing. (Psr�ty code 9�02.06J 9$Iso hold the C�ty of Fridiey and/'�ts employees harmless#or arry dama�es that may occur whife doing this
operation. This ta indude,but not limited to valves,piping,walis,flaors or the curb stop l�ox and servFce line. In understand i am also require
to abtain a permit praor to anY wrork,if necessary.
FltVAL METER REP,DlAtG(o(d meterj �� L� C/ `� "
Name: �V�-�`1 l Address _ � l O �-i���u K� ��'rr�1 P
Pho� umber �`'r�� �- 1� t� � pa� �-- � -- l�
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Witness Signature
OLD METER# L�� �� ���
OI.D READOPtG `(/`� �U
NE�,���R� _ y� 35 �8 � i
iVEW READIWG O
��tT# G �� � t �� �
FRDDLEY CITY CODE
CHAPTER 4+02.WATER,STORM WATER AND SANiTARY SEWER
ADMliYISTRATION
(Ref Ord No 113,46h,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMlT FEE
Prior to constructing or repair of any water af sewer line connecting the existing munici�al system and arry house ar lx�ilding for which the
applicafisvn is made,the owner or contractor sha(I be required to obtain a permit fior such connection,and shali pay a permit fee as provided irt
Chapter 11 of Yhis�ode. After such connection has been made,the Water and Sewer Department shalt 6e notified. tt shal[be unlawfuf to covee
any co�necting line unti{an inspection has been made and such connection and ihe work incident thereto has been approved by the C�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COAINECTION
After the initiai connection has been made to the water senrice cur6 step bux or the sewer lead at the property line or a water seroice Iead has
been extended to the property line for connection,tbe applicar►t,owner,or occuparrt or user of such premises shatt be liabfe for al(repau�s
required to any walCer line and sewer lines necessary for connection of the premises from t(�e main to the premises. If the property own�,
reguests maintenance service or repairs be performed!�y the�ty,the property vwner shall be charged for the costs of the mair�tenance a�or
repairs,including necessary street repairs at a aate set annualiy by a�administrative policy. !t shall be the respansibility of#he applicant, ' -
owner,4ccupant ar aser Lo perform standard mairrtenance of the sewer service I�ne from the premises to the main includlrtg debris dea�ing or
root cutting and to maintain ttre water service curb stop box for operebitity and at such height as will ensure that it remains abave the�nished
grade af the land ar property. (Ref 638,1156,1191)