Meter Swap Request Number: 10866
Public works Division
Service Request
Problem Address: 1567 S Ba�arian Pass Requested By: Dick Ripkin
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-502-0467
5cheduled at : 2015-11-18 � Scheduled TYme: 09:00:00
ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2015-11-17
ACTION TAI�N:
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Status: In Progess Resident Contacted C,
Date Completed: Completed by:
I�-��-�� ��.DC�.,��.Il
7
- Gty of Frid{ey
- . . . � _ Wat?t Depattment .... . :. . ._..
6431 University Avenue NE
Fridley�MN 55432
(763)572-3566
i/we her+eby authori�e th��rtY°f�ley and/or its
empioyees to do what is necessary ta replace the water meter.�►������RnD�°�er
is Ila61e far the wat�r tine frorn the main to the premLse and a9����01'I�um6ing. (Per qtY code
402.06) 1 alsa ho{d the Cty af Fridley sndrt�employees harml�far any dama�es mai maY oc�u�
white doing this aperadon. This tu include,but not timited ta,�►R�p�n�►����0°rs°r the curb
stop box and service line. 1 under�tand I am also required to ol�+�a P���P�or tfl any wuric,if
nec�sary.
. Anal meter readtng(old meter� . , .
Name: Address: -
Pbone Num6e�• Date: ,
Signature: .
INitness Signature• �
FRiD{.EY CITY CODE •
CHAPTER�02.WATER,Si�RM WA'fER,ANDSANITARY SEWER
ADI�IINISTRA710N
(Ref Ord No 113,464,565;566,6Z9,638,662,92Z,988,1�.44,1156,1191)
40ZA5.PERMi1"FEE �
Prior to constructing or repair of any water or sewe�line connectingthe eadsCing muniupai system and arry house
or huilding for whidi the application is made,th�owner or cantracta�all be requtred ta o6tain a pecmit for such
connectlon,and shalf pay a petmit fee as provided in Chapte�ii ofthisCode. After such canaedian has been
made,the iNater and Sewer Depardnet�t shatf be noti�ied. It shatt heunlawful to caver any aonnecting line until an
inspection has 6een made and sud�cannecCion and the work inddent thereta has 6een apprnved by the City as a
properand suitable connection. �
402.06.REPAIRS AND MAINTENAr10E TO�ONNECTION
��Q����. �ti�.,�,a�ia tn the water service turhstoo 6ox ar the sewerlead at the propert'
line or a water service or sewer lead has heen extended to the propertyline for cannec�on,the appiicant,owner,
ar the�ecupant ar user of wch premtse�shall be liable for all�epa�required to any water line and�ewer lines
necessary for connectian of the premf�es from the main t�e e ro��u�n��hall be d�arged far tt►e cosks of the
maintenance service or repairs he perfamed 6Y tt►e City, P P�Y
. maintenance and/or repairs, including any necessary street repairs,ak a rate set annualiy by.an administrath+e
poticy. It shall be the responsihif'�tY of the appticant,owner,naupm�tor user tn perfomt staadard maintenance of
• the sewer service line from the premises to the main inctuding deh�s elearing ar root cutting and to mai�ain�e
water servic��cur6 stop box for ope�abii'�ty and at such height as vu��ure that it rematns abave the finished _
grade d�ftin�tarrd orpr�p�ty.�jRef 630,��55,.t���:� _. _ . � _..