Meter Swap ,
Request Number: 15994
Public works Division
Service Request
Problem Address: 600 Kimball St Requested By: Lawnna
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-784-0248
Sche� d llnte: 2017-06-15 Schednled'Rme: � 11:30:00
ACTION NEEDED:
Created by: Wendy Hiatt - Date Created: 2017-06-14
ACIION TAI�N:
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Status: In Progress Snbmitter Has Been r,
Contacted
Date Coeipleted: �j Completed by: f
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Fradley,MN 55432 U�
763-572-356�
Ijwe hereby au#horize the Gty of Fridtey and/or its employees to ato what is neoessary to
replace the water meter. t understand that the property owner is liable for the water line from the main to Lhe premise and all iriterior
plumbing. (Per�ity code 402.06) 1 also hold the City of Fridiey a�d�ts employees harmless for any damages that may�xur while doing this
operation. This to inc(ude,but not limited to valves,piping,wails.floors or#he curb stop box and service line. in understand 1 am also require
to obtain a permit prior to arry work,if necessary.
FINAL METER READ{NG(old meter) � ��� � � �
Name• ���(1�,�, �0.ddress__ �¢ v� ��11'1/1/�� � 7�•
Phone Number ��'�J'' � V 1 �� !�ate 111 — 1�J` ��
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Signature _ Witness Signature ��'�
OI.D METER#_ ���� `�5 Y�5
OLD READlNC; ����� b �
NEW METER#_ � l p�,��p(�8�
NEU4/READING �
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FRtDLEY CITY CODE
CHAi�TER 402.WATER,SfORNI WATER AND SANITARY SEWER
ADMINISTRATION
(�tef Ord No 113,454,565,566,629,638,662,922,988,1144.,1156,1191)
4t32.5 PERAAIT fEE
Prior to�onstructing or repair of any water of sewer line connecting#he 2xisting municipat system and arry haise or bui(ding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and sha(i 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 shall be unlawful to cover
any connecting line urrtii an inspection has been made and wch conrtection and the work incidertt thereto has been approved by the C'rty as a
proper and suitable connection.
402.06 REPA(RS AMD MAINTEiVANCE TO CONNECTION
After the initial connection has been made to the water ser�ice wrb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property line for r.onnection,the applicant,owner,or occupant a�user of such premises shail be liable for all 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 maintenance service or repairs be performed by the�ty,the property oarner shali be charged for the�of the maintenance and/ar
repairs,including necessary street repairs at a rate set annually bp an administrative policy. It shall be the responsibility of the applicarit,
owrner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main including debris dearing or
roo�k cutting and#o maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finishec!
grade af the land or property. (Ref 638,1Z56,1191j
Request for Service Report
Gity of Fndley
Re�ere.��ce No: fi{l1•12-51�J8 Date: i:'15r'�312
FieQ�eat Fype: Tum water afflan Ente�red By: Jea�n Nbc�aela
pepartmerrt: Wade.� Gtiz�en Name: robert hat�er
nda�,:: soo aMeru.t.sr� c���: �-�sa-a¢aa
Sched�ied UaE�e: 7l7/2011 9:OD AM Frap�t�r Owne� Robeic i�l�
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