Meter Swap . Request Number: 13246
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Public Works Division
Service Request
Problem Address: 7528 Stinson Blyd Requested By: MitchTibbets
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-783-7096
Scheduled Date• 2017-0 8 � 5chednled 1lme: 08:30:00
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ACIION NEEDED:
Crexted by: Wendy Hiatt Date Created: 2017-02-03
ACTION T
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" � Stxtus: In Progress 5ubmitter H�Beea r,
� Cont�ted
Date Compieted: Completed by:
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5431 dDnivea�sity s4�re�aae�l� C O °-� ^�� �
FracllQyg 6U16�! 55432 / l��
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,A�A°� hereby authorize#he City of Fredley and/or its emPioyees to slo what ds necessary
, replace the water rneter. i�nderstand that�he propee�ty owner as 1'�abie for the serater Oine from the main to ttee premise and alt irrterior
plurrebing. (P�er Ciry cosie�fl2.m6� i alsa�old i�e City�#�aidley and/'rts employees harmless for any�lamages tfiat may occur�rhite doing th
opee�a2ion. This go�nclude,bufi nrnt limited io valves,pipin�walls,floors or#he curb sto�O 6ox and service lir�e. In trnderstand i am also req+
to obtain a perrnrt prior#o any�vor�,�f�ecessary.
FIWAL NIETER READHdG(oict meter! �� � TJ��
Name: 1 �� f � dress ��� ���0�
Phone fYum6er�� r��fi��^ � (/
Signature_
WFtness Signature
OLDMETER#� �-fg 1 �r�
OtD READtNG_2-� 1 ✓ ���
11iEW METER# _ 1� 1'V � � ��
WEW REA,DING�
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FR(DLEY CI�'Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
aoRna�uOsr�a�oN
(lief Ord 1110113,464,565,566,629,638,662,922,988,1144,115fi,1I91j
402.5 AERMi7'FEE
Prior to corrsfiiuctirtg or repair af ar�y water of sewer line connecting ifie existing muniapat system and arty hause oc buiiding for whid�the
application is made,the owner or comractur shafl be required to obtain a permifi for such connection,and shali pay a permit fee as provided i
Chapter 11 of fihis Code. After such connection has been made,the Water and Sewer Departmerrt stiail be notified. i#shall be untaurful to crn
any connecting line urrtil an inspection has been made and such connection and the worlc inaderrt thereto has been appcoved by the City as a
proper end suitabte cortnection.
402.06 REPAIRS Af01D IUfAt{VTEAiqp/CE TO COMNECTION
After t6e in'rtial connecfion has been made to the water senrice curb stop box or the sewer lead at tFte property IPne or a wa�r servic�lead ha:
been extended#o the property line for connection,the appiicarrt,owner,or accuparrt or user af such premises shalt be liaMe for ail repairs
required�to any water line and sewer lin,es necessary fer r.onnection of the premises from the main to the prem�es. 1f the property owner
requests mairrtenance senrice or repairs be performed by the City,the property owner shall be charged for the costs af�e rnairrtenar�and/<
repairs,including necessary street repairs at a rate set annually by an administrati�re poliry. R shali be the respons'bit'tty of the applicarrt,
owner,oceuparn or user to per�orm standard maimenance of the sewer service line from fi6e premises to the main inctudirig debris dea�ing or
root cutting and to mairrtain#he water service curb sfiop box for operabilifij and at such fieight as wili ensure that it remains above the finishec
grade of#he land or properiy. (Re#63g,1156,1191)