Meter Swap r _ Request Number: 16633
Public Works Division
Service Request
Problem Address: 8111 Ruth Circle Requested By: Peter Bruwld ,
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-670-7495
Scheduled Date: 2017-08-17 � Scheduled'llme: 10:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201�-08-09
ACTTON TAI� :
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Status: In Progress Sabmitter Has Been r
Contacted
Date Completed: Completed by:
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�`��v� �ereF�aa�l�sor9ze ti�e�t�j af�ridiey ae�dJor its�mpPa�ees to d4 mr[�at is�aecessar�
a��iace�he uw�r�raeter. 9�anst�rs�aaa�s�that#he�rvpert^��+ane�as�iai�de far xhe water lins�^arra�he maire ta�Fee or�snise and att�e�ter'svr
��urssbing. {Per�'��code 4��.�6� �a�ss tso��1�he�i�y a��e�dtey aracDJits empiay�es fiarmtess fmr arry daoatages that+mat�occur w4eite tioing�
��xea�tion. '&'�sis L�incicade,�ae��raqt iirrsite�S�o vadves,piQirsg,�ra6ts,�9oors�r t.�se sur�stop�ox ar�d service iine, �n undeasCacod 8 am aYso�ec
�m o�tairt a per�nit�Srnor��arty arorfc,�f�ec�ssary.
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4��f Or�!�[�A13o 4�4,�55,5�6,�2�,538,562,��2,988, 114�4, 3.156,1191�
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� Prior tm constrvcting or repair�F any water of sewer line s:onnecting�he existing rnunacipal syst�nn and ar►y house or buifding�or which the
a�piicatson is rnade,t3�e owner or�arttracCor shalt be required to obtain a per�mit�or�uch connection,and shail�ay a�termit fee as pr�ovided
�hapt�r�1 of this�ode. �ft�r such cortnection has�eers made,�he�A/ater and�orer�iepartxnerrt shai(be n+otified. !t shait be uralawfu!to cc
any connecting line urrt�[an�c�s�ectian 4�as aeert made and sucEs connection and the�►ror�c incidenfi thereto has f�eert approued by the City as;
�ro�ner artd suitab(e wnnectioa.
402.06 REPs�1iRS AsVD MAiN�fVAtYC�1ZD CLiN11iEC91O1�!
A�fter t(1e snitia�s�nnectiora has been made to the arater service c�srb sto��sox or ttae sewer tead at t(�e�rroperty line ar a water service lead t�:
been extended to t�f►►e�roperty line For connection,the appiicarrt,awner,or occuparrt ar user of such premises shall he liabie for ait repairs
requirec!to any water line and se�ver lines rtecessar�for connection af the,�remises from tNe main t�the premises. (f the pro�serty owner
requests nnadr�tenance ser+rice Qr repairs be performed by the�ty,the properCy owrter shaf!be charged for the costs of the mairrtenartce arid�
re�airs,including necessary street repairs at a rate set annuaity be�an administcatzve poiicy. tfi sha(!be tf�e responsiisil"rty vFChe applicarat,
o�nrner,accupamt or user to�erforrn standard mairnenance a�the se+aer servic�e Iine firom fihe premises ta the main�nduding�lebris dearirtg fl
�szo��utting and tm maintain tlae urater service c�rrb stop box for oq�erabili#y and at such height as wilt ensure that+t remains abuve Che finishe
grade of the iand or prvper�.y- (Ref 638,�.�.56,1191j
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City of Fridley
Water De artment
Address � � � t �f�-�-� �� r
Name �-e.'�2f� I��" V V O�O'
Date '`� ^r �(� .
Old Meter Number � � , q v
Old Meter Reading
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Replacement No. �. L� �
Replacement Reading
Replacement Make {J�� ��
Remarks: .�n
Signe
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