Meter Swap { Request Number: 15901
�
Public works Division
Service Request
Probtem Address: 360 Hugo St Requested By: Gail Fish
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 612-61'7-422�
Sr�e� 2017-0 -15 ,�,t,� Schednled 13me: 01:00:00
�'� t�- [
ACITON NEEDED:
Created by: Beth Kondrick Date Creat�d: 2017-06-09
ACfION TAI�N:
..............._.__.......___�s..�:.._���.._..__..___._����...-..-..-_.._______....... _.._.._.._ .__._...._.__
, �
�, �: ..
�� �.
�e F
� . �,
...................................................................�..................................................... . ......................�................ .......�.. ........ ..v......�..�.....�.................e........`..............�...� :e_.5,.;...: :�.
. . ' 'r.�.�f.'."
�
��
�
. .................................. .................................. ....... .��................................................... ....�.. ......�..........��...................................�.............�...........�.........��. ..... � ��3
::#
Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: � _ � �_ !� Completed by:
l v� r�
�,
�.
�� � ._r���
�'ty����t�� � �����C; ��
water Departm�nt
� b4�31 lJnivers'rty Averoue IVE
� Fradley,MIV 55432
763-572-3566
��°Ne hereby authorize the Crty of Frid(ey and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the gremise and all iMerior
plumbing. (Pe�Lity code 402.U6) t also ho4d the Crty of Feidiey and/'�ts employees harmtess for any damages that may occur wh7e doing this
operation. This to include,but not limited to+ralves,piping,walis,floors or ihe curb stop box and senrice line. In understand 1 am also requirE
to obtain a permit prior to any wortc,if necessary.
FINAL METER READIMG(old meterj v "' v' �� ✓
Plame:,�(iU.� � ��i� � Address_ � V �, l/ �-,
Phone Num � �'� �'��ate _ l ,�-- �,� "r : l
�Signature Witness Signature
OLD METER# �M(J � (/����Q
OLD READING_ �O�� ` U
� PtEWMETER# � ���� UU�
NEW READING C�
El�T# ���`p�t. � �C� �
FR(DLEY CITY'CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMINISTRATION
(Ref Ord Mo 113,464,565,566,629,638,662,9Z2,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting ihe existing municipat system and any house or building for which the
application is made,the owner or co�trador shalt be required io abtain a permit for such connection,and shaii pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notified. It shall be unlawful to cover
any connecting liae until an inspection has been made and such connection and the work inciderrt thereto has been approred hy ihe City as a
proper and suitable co�nection.
402.06 REPAIRS AND MAINTEPIAiYCE TO CqP11VECTION
After the initial connection has been made ta the water service curb stop box or the sewer lead at the property line or a water senrice tead has
been extended#o Che property line for connection,the app(icarrt,owner,or occupant a�user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary�For conneetion of the premises from the main Co the premises. If the property owner
requeses maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/ar
repairs,including necessary street repairs at a rate set annually bg an administrative peticy, It shal!be ifie responsibility of the apptiqrn,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris deari�or
root cutting and to maintain the raater service curb stop box for operability and et such height as witl ensure that it remains ahove the finishec!
grade ofi the land or property. (Ref 638,1155,1191j