Meter Swap � Request Number: 16564
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Public works Division
, Service Request
Prp�d.em Ad,dress: 669 Hugo St Requested By: Tom
Dep�tment: WA'IER Address: No address provided
Proi�mllssue: INSTALL AMR METER Phone Number: 612-859-3509
Schednled Date: 2017-0 -07 � Scheduled Time: 01:00:00
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ACITON NEEDED: �
Created by: Wendy Hiatt Date Created: 2017-08-03
ACTION TAI�N: �
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Status: 1n Progress Submitter Has Been r.
Contacted
Date Completed: � _ � --�� Completed by:
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a�''V� herebr�authorize the(".►ty of�dley ae�dJor its empioyees to�1a what�s aeecessary. ec
reg�lace tiae urat�r meter. !�anderstand taeat#he;�roperty o�rner is 9iable far zFae�ater�ine�rom the�raain to#he premise and ali irnenior
�iur�abirage �Per�ity�ode 40Y.�6� !atso hold ttae�ty of Frsdley andJ�ts employees harmless for arty daenages that rnay occur while doing thw
o�eratiam. °!'his to�nclude,but not limited to vatves,piping,walts,f9oors or tfse curb stop box and senrice iine. In undeestand 8 am also�equi
to obCain a permit��sor to any worfc,if r�ecessary.
FlNA�ME6'ER REaot9vG{ofa rr�eter) �V V
Name� ��►v 1 Ac[dress � lS� { J7�
. Pho�e�tumber_lJ� VG�~ V�� � 3�� 1 pate_ � '" l ` (, �
�Signature� �` ~
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OLD READlNG __ ��� V V�� V
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FRlDLEY CiTY CODE
�F6A�E1$4A32.�41A�R,STORN6�AfATER AND SANPI'ARY SEVNEit
ADIVIHIVIS't'IiAT1UN
�Re#Orct No 19.3,4f�4,565,5fa6,629,638,6f2,922,488,1144,1156,1191j
4�25 PERMlT PEE
� Prior to�anstructing or repair�F any water af sewer line connecting the existing rnunicipal$ystem and arry house or(�uiiding for�rhich the
applicatiors is made,the owner mr contractor shalt be required to obtain a per�mit for such connection,and sha(1 pay a permit fee as provided ir
Chapter 11 of this Code. After such connection has�een made,the Water and Sewer Departmerrt�hail be natified. It shall be unlawfui to cov�
any connecting li�e unfid(an�nspectior�has been made and such connectia�and the wor4c inciderrt ti�erefio has been approved by the City as a
�roper and suitabie connection.
402.06 ttEPAIRS A�VD IUTAlN'P�ENAi�iCE TO�ONNECTfON
After ti�e initiai conaectiort has beert made to ti�e arater service curb stap S�ox or the sewer 4ead at titie property�ine or a water service lead has
been extended to the proper�y line for�onnection,the appiicant,owner,or occuparrt ar user of such premises shall pe liah(e fnr aii repairs
required to any water line and sewer lines necessary For conrtection of the premises from the main to the premises. If the property awner
requests mairnenance service ar repaics be performed by the C3ty,the property owner shail be charged for the costs af#he maim:enartce andJa
re�airs,including necessary street repairs at a rate set annualty by an administrative poiicy. 1t shatl be tfie responsibit'rty af the applicaiat,
awrner,occupan#ar user to perform standard maintenance fff the sewer service line farom the premises to the main induding stebris c4earing or
root�utting and to maintain the avater service curb stop 6ox for operabiiity and at sucft height as wi8 ensure+that it remains abo,re the finished
grade of the(and or property. {Ref 638,1156,3191j