Meter Swap � Request Number: 15904
Public works Division
Service Request
Problem Address: 572 Kimball St Requested By: Don&Mary Osbome
Department: WATER Address: No address�'ovided
Problem/Issue: 1NSTALI,AMR METER Phone Number: 763-780-4977
Scheduled Date: 2017-06-30 Sc6ednled 1lme: 10:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-09
AC110N TAI�N:
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Status: In Progress Submitter Has Been r.,
Contacted
Date Completed: Gompleted by:
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Hiatt, Wendy
Subject: Don & Mary Osborne 763-780-4977 AMR install for old meter
Location: 572 Kimball St
Start: Fri 6/30/2017 10:00 AM
End: Fri 6/30/2017 10:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt,Wendy
1
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��t„o����i�y `�j�f� � J`�l Z� �'�`-��`?
. HVa�er Departm�ent ��j�- Ll�'v�
�43Y l�niversity Asrenue NE � d
Fradley,MN 55432
763-572-3565
r�`�e hereby authorize the City of Fridtey and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property ovrner is liabie for the water line from the anain to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridiey and�ts employees harmless for any damages that may oaur while doing this
operation. This to include,but not(imited to valves,piping,walls,floors or the curb stop box and service linc. In understand l am also requirE
to abtain�permit prio�to any work,if necessary.
FINAL MEI'ER READI11tG(old meter� �+�-i�� �O
Name: �� Address ��� � ��ul.<.{/� �
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Phone Num r � "'r � p� ��� ` 1�
�j Signature Witness Signature �
OLD METER# � ' I ��� ����
OlD READING Ev C7 �
NEM/METER#__ '1, 1���� ��
NEW READIP(G�
E�# '12� f �-� '�Z.
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iFRtDLEY CITY CODE
CHAPTER 40Z.WATER,STORMI WATER AND SAPIITARY SEWER
ADMINISTRATION
((tef Ord No 113,464,565,566,f29,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
P�ior to cvnstructing ar repair af any water of sewer line connecting the existing municTpal system and arry house or fwitding for which the
application is made,the owner or contractor shall be required to obtain a permit for such cannection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewe�Departmerrt shail be notfied. it shall be unlawfial to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable cennection.
402.06 REPAIRS AMD MAINTENANCE TO CONNECTION
After the inifiial connection has been made to the water service curb stop box or the sewer lead at the property lin�or a water service tead has
been extended to the property line for tonnection,the applicar�t,owner,4r occupaM ar user of wch premises shatl be liaWe for ait repairs
required to any water line and sewer lines necessary for conneetion af the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed b}t the City,the property owner shali be charged for the cosCs of the mairrtenartce and/or
repairs,including necessary street repairs at a rate set annual[y by an administrative policy. It shall be the responsibility af the applicant,
owner,occupant or user to perForm standard mairrtenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and to mairrtain the water senrice curb stop box for operabilitg and at such height as will ensure that it remains above the�nishec!
grade af the iand or property. (Ref 638,1155,1191)