Meter Swap _ � �Cs�y���sd�e� ��O� ����� (J.�
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��''V� Frereby authorize the City of�r�dPey artd/or its empioyees to�a�srhat as necessary ta
re�tace the water meter. !�saslerstand that the�roperty oarner is�iable for the�+rater line fr�om the main to the premise and all irtter9or
,olur�ebing. {Pec�C'ity code�Z.D6� f aiso hoid the�ifij�f Frsclley and�ts employees harmless for arry tiaee�ages that 9nay orcur while doing thi:
oper�tion. This Lo�ndude,�aut not limited to vaives,pipirtg,�+raBls,floors or the curb stop�ox and service line, �n undee�stand e arn also requi
to a�tain a perrrtit preor#o arry worfc,if necessary.
FlMAt MET�E 6t READtAtG o1d meterj ZZ�� �yo
Name• + `�C.C� � R' - (' A c� 1 � 1�� P
Address s,? t � 1 H 1 C�KOK/ C��r
. Pho�e iVumber �����~'�/' �2��pate_�'�'�'� �
�Si nature Witness5ignature �v�'�••
o�� ��ER.� ���7 �2-�Z-
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FRIDLEY CITY CODE
+�@iA�'EF�402.tNATER,Sl'�RN!lNATER AND SANI'CAR1C SERNER
A�M9NIS'iRAT{ON
�I�ef C)rci No 113,Q�G4,565,5C6,629,538,562,922,988, 1144,115&,1191j
4025 PEltMIT�EE
� Pr6or to�onstructing ar cepair�af any water trF sewer iine connecting i:he existing rnunicipal system artd ariy hause or bui(ding for which the
appiicafiion is made,the owner as cartractor sfialf be required to obtain a permit for such connection,and sha(t pay a permit fee as provided ir
�hapter 11 of this Code. Af�ter such connection has been rnade,the Wafier and Sewer Departmerrt shaN be notified. !t shatl be unlaurfu!to c.ov�
any connecting ti�e untit art inspectiors has been made and such connection and the worlc inciderrt thereto has been approved 6y the City as a
�roper and suitable connectio�.
402.06 REPAIRS A�1tD lb1A8N't'ENANCE Tq CONttiEC!'1O4V
After the initiai connection i�as been rrtade to the water senrice curia stop�ox or tEae seuver iead at the property line or a arater service Iead has
been extended to che property lir�e for r.onnecCion.the appli+carrt,awner,ur occuparrt ar user af such premises shali pe Iiable for afl repairs
required to any water tine and sekver tines necessary for connection o#the premises from the main ta#he premises. tf the}�roperty oarner
requesfis meirrtenance service or repairs 6e perFormed�y the�ty,the property owner shall be charged forthe�aFthe mairitenance andJ�
re�aairs,including necessary street repatrs at a cate set annua(ty by an administrafiive ooiicy. !t shal!be the resporrsibility of the applicarrt,
owner,occuparnt ar user Lo perform standard mairrtenance o�t�+e sewer service line from the premises to the main induding debris cfearirtg flr
roofi cutCing and to rnaintain the water senrice curb stQp box for operal�ility and at wch height as wili ensure that itremains ebove the finished
grade of the(and or proper+yy. (Ref 538,9.956,1191j
_ ,
n Request Number: 16607
�
Public Works Division
Service Request
Problem Address: 6969 Hickory Circle Requested By: Meecha(?)
Department: WA1ER Addresa: No address provided
ProblemlIssue: INSTALL AMR METER • Phone Number: 1-916-205-4225
„ Scheduled Date• 2017-08-11 Scheduled 11me: �Q Y�
... ` �„_ "'�
AC1�ON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-08-07
ACTION TAI�N:
...___..�_�...`'�.���--..���...._._._..�,..�.....'�.,_____.�_._�_................_....._._.. .._.___.._
Status: 1n Progress Submitter Has Been r.
Contacted
Date Completed: Completed by:
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