Meter Swap . " Request Number: 13384
Public works Division
Servlce Request
Problem Addresa: 7371 Sympho�+St Requested By:
Deparitment: WATER Addresa: No address pcovided
Problem/Issue: INSTALL AMR METER Phone N�ber: 763-�84-0700
Scl�dnled Date: 201 -14 Schedale�11me: 11:30:00
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ACIION NEEDED:
Craated by: Wendy Hiatt Date Created: 2017-02-09
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St�t�u: 1n Progcess Sab�itter H�t Beae �,
Coet�cted
Dnte Co�leted: Completed by:
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ai1/atee��e�ar�a�t�sera�
6431 i9ndversity�Ave�,ue N� ��.� ��/
Frielley,llr!{V 55432
, 753-5�2-3566 " �j�� ��� � .,1,� ��
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` !/'"°� hereby authorize#he City of Frrdley and/or its empioyees to do what is necessary ta
replace the water�neter. i understand that�he propea�ty owner�s liab(e for the water line#rom the main to the premise and ali iMerioc
pluersbing. (Per C�ty cocie 402.06j i a#so hold the�'rty of Fridley and�ts em�loyees harmless#or any damages that may occur while doing th�s
operation. This to 6nclude,but not lim'rYed to valves,�ipin�waNs,floors or the curb stop boz arrd servke line. In understand!am also a•es�eri�
to abtain a permrt prior to any worlc,if necessary.
FtNAL METER READING old m � � � /���
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Aiame• Addre� � C�� � �'�
Phone Number LJC7 �7'�������� ?j ��� ��
Signature_ W�tness Signature �--��_�—
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ERT#�I � � c� I .
FRIDLEY CfT1(CODE
CHAP3ER 402.WATER,STORM WATER AND SANITAitY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,i191}
402.5 PERMIT FEE
Prior to sonstructing or repair of any water of sewer tine wnnecting ttte existir�g municapal system and arry Nouse or buiidir�for whic6 the
application is made,the owner or cor�tractor shaii be required to obtain a permit for such connection,and shall 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 notif'ied. R sha(I be untawful to covE
any connecting line uritil an inspection has been made and such connection and#he war6c inaderrt thereto has fieen approved by the City as a
proper and witable connection.
402.06 REPAiRS AND MAIPrITENqRICE TO CONNECRON
After the initia!conneccion has been made to the water service curb stop box or the sewer lead at the property Ifne or a water�nrice iead has
been extended#o the property line for connection,the appiicarrt,owner,or occuparrt or user of such premises shall be liat�for aq repairs
required to any water l�ne and sewer lines necessary for connettion of the premises from the main to the premises. ff the property owner
requests mairrtenance senrice or repairs be perFormed by the City,the properey owner shaii be+charged for#ie costs af the mairrterrance and/o�
repairs,including necessary street repairs at a rate set annuaily by an administraiave pofiry. It shall be the responsbility of the applicarrt,
owner,occuparrt or user to perform standard mairrtenance of#he sewer service line from the premises to the main�nduding debris dearing or
root cutting and to mairrtain the wate�service curb stop box for operability and at such height as wiil ensure that it remairGs above fihe finished
grade of#he land or property_ (Ref 638,1156,1191)