Meter Swap .
,
� Request Number: 15939
Public Works Division
Service Request
Problem Address: 620 Hugo St Requested By: Kerry
Department: WA1ER Address: No�ress p�ovi�d
Problem/Issue: INSTALL AMR METER Phone Number: 612-242-2888
Scheduled Date: 2017-06 13 Schednled'ISme: 07:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Datc Created: 2017-06-12
ACTION T
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Status: In Progress Snbmitter Haa Been r. �
, Contacted
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Date Completed: Completed by:
�O - � � l �1 �'o'��
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' �i#y o#�r�tl9ey y�
Water Departe�s�nt ��� ���l/7� — �3
' 6431 l�niversi#y Avenue NE
Fradley,MN 55432 s�� �/�p��
763-572-3566
1/we hereby authorize the Crty of�ridley and/or its employees to do what is necessary to
replace Lhe water meter. 1 understand that the property owner is liable for the water line from the maire to the premise and all iMerior
plurnbing. (Per Lity code 402.06) I also hold the City of Fr6dley andrts empioyees harmless for any damages that may ocwr while doing this
operation. This to indude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand t am also requirE
to abtain e permit priar to arry worEc,if necessary.
FINA!METER READtNG(old meter�_ (�� o �
Name: 4 - ' "' Address 1�
Phone 9Yumber�� //� �y� Date Y/ r�� � �
'S�gnature Witness Signature
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OLD METER# �� � �O��(
OLD READtNG Z� a �
NEW METER#_�'[�Z� J � J F�
fYEW READING�
E�#_�222�f l°i�
FRiDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Itef Ord Mo 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior#o constructing or repair af any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the awner or contractar shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shalt be un(awful to cover
any connecting(ine urrti!an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTEAIAPICE TO COPIIYECTION
After the initial connection has been made to the water service curb stop box or the sewer tead at the property line or a water seMce lead has
been extended Lo the property line for sonnectio�,the app(icarrt,owner,Qr occopar�t ar user of wch premises shall be liable for ail repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. tf the property owner
requests mairrtenance service or repairs be performed 6y the Gty,the property owner shall be charged for the costs of the mairrlenartce and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shaQ be the responsibility of#he applicar►t,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairitain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the iand or property. (Ref 638,1155,1191)