Meter Swap � Request Number: 16391
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Public works Division
Service Request
, Prqblem Address: 640 Hugo St Requested By: Lisa Blilie
Department: WA1ER Address: No address provided
Problem/Issue: INSTAI.L AMR ME1ER Phone Number: 763-313-7478
Scheduled Date: 2017-07-20 Sc6ednled 1ime: 02:00:00
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ACITON NEEDED:
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Create�'by: Beth Kondrick Date Created: 2017-0?-18 '
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted ��
Date Completed: /� Completed by: �'`� - ..
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� 6431 lJr�9versdty Avenase NE
4 Fridiey,MN 55432
763-572-3565
'l`''�� hereby authorize the City of Fridiey and/or its employees to do what is necessary ta
replace the water meter. 1 understand that the property owner is tiable for the water line firom the main to the premise and all irrterior
plumbing. {Per City code 402.06� 1 also hold the City af Frid{ey and/'rts emptoyees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,pipin�walis,fioors or the curb stop boz and service line. ln understa�d 1 am atso require
to ohtain a permit priorto any wortc,'rf necessary.
FlNAL METER READING(otd meter}_ O / �� � 4 �
Name• ���l� ►J� { ���Q Address � i—.
Phone Number��.0�3 "' �'���'8 pa� —� —� y
����re Witness Signafiuse
OLD ME'f'ER# Il��� � ���
Oi.D READING D 1 ��O 1� d
NEINMETER# 6 I ��,J 7 -l�
NEW READING �
ERT# __ � �� 9 �� � �
ERtDl.EY CITY CODE
CHAPTER�02.WA3ER,STORM WATER AND SANtTARY SEWER
ADMlN1STRATICNY
��ef Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
� Prior to constructing or repair of arry wa�ter of sewer line connecting the existing municipai system and any house or bui(ding for which the
applicafiion is made,the owner or contractor shal!be required to obtain a permit for such connection,and shali pay a pertn(t fee as prouided i�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be nofified. (t shaU t�unlawfu{to cover
am�connecting{ine ur�tif an i�spection has been made and such connedion and the work incident thereto has been approved by ttre City as a
proper and suitable connection.
402.06 REPAIRS AWD MAINTEPtAPICE TO COP4WECTION
After the initiat connectiort has 6een rr�ade to the water senrice curb stop box or the sewer(ead at the property Iine or a water seniice tead has
been extended to the property 6ine for connection,the applicarK,owner,or oc�cuparrt or user of such premises sha1R be iiable�or aU repairs
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests mairnenance service or repairs be performed by the City,the property owner shal{be chargect for the costs of the maintenance and/or
repairs,inctuding necessary street repairs at a rate set annualty by an administrative poliry. it shafl be the responsibility of#he applicarrt,
owner,occupant or user to perFocro standard mair�tenance of the sewer service line from the premises to the main including debris clearing o�
root sutting and Lo maintaire the water service curb stop box for operabil'rty and at such height as will ensu�e that it remains above Che finished
grade�f the tand or property. (Ref 638,1156,1191)