Meter Swap Y , Request Number: 15641
Public works Division
Service Request
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Problem Address: 303 Longfellow St Requested By: Tarik
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-669-6734
Scheduled Date: 2017-06-01 Scheduled 1ime: 08:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-31
ACTION T N:
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Status: In Progress 5ubmitter Has Been r
Contacted
Date Completed: Completed by:
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���,o���d�ey ��� — 5 i ���D —c� 3
� Wa�ter Departrraertt
, 6431 l�niversity Avenue NE '�� � (��� (
Fradley, MN 55432 �< <
763-572-3566
1/we hereby authorize the Gty ofi Fridley and/or its emptoyees to do what is necessary to
reptace the water meter. !understand that the property�wner is diable for the avater line from the main to the premise and all interior
plumbing. �Per�ity code 402.06) I also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this
operatio�n. This to include,but not limited to walves,piping,walis,floors or the curb stop boK and service line. In understand I am also requirE
to obtain a perm+t prior to any work,if necessary.
FINAL METE62 liEADING(oid meter) O �� � � t�
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Name• ��� � Address �li���i��
Phone�vumber � ��at t�lJ � r�
Signaiure W6tness Signature
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OLD M1El'E�# ���� J��
OLD REQDING V U � � � �U
fV�l�l/ NiETEi�# ���Z���
NE1lV i�EADING �
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FR9DLEY�ITi(CODE
CHA�TIER 402oWATER,STOftMI WATER ANL�SANITARY SEWEF2
A�MINlSTRAT90N
(�tef Ord Ne�113,464,565,5F5,629,538,662,922,988, 1144, 1156,1191]
402.5 PERMiT FEE
Prior to�onstructing or repair of any water of sewer line connecting the existing municipal system and any house or bui(ding for which the
application is made,the owner or contractor shall be required to obtain a permit for such con�ection,and shall pay a permit fee es provided in
Chapter 11 of this�ode. After such connection has been made,the Water and Sewer Department shall be notified. It shall be untawful to cover
any connecting�ine unti!an inspection has been made and such connection and the wortc incident thereto has been approved by the City as a
proper and suitable connection.
4Q2.06 ltEPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connection has been rnade to the water sen�ice curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant ar user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for conneckion of the premises from the main to the premises. If the groperty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the casts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually tsy an administrative policy. It shall be the responsibility of the applicant,
owner,occupan#or user to perForm standard maintenance of the sewer service line frvm the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the fand or�property. (Ref 638,1156,1191j