Meter Swap #
� Request Number: 11334
Public Works Division
5ervice Request
Problem Address: 1330 Hillcrest Dr Requested By: Connie Modig
Department: WATER Address: No address provided
Problero/Lcsue: INSTALL AMR METER Phone Number: 571-0550
Scheduled D 016-04-12 Scheduled TSme: 10:00:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-04-07
ACTION TAI�N:
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Status: In Progress Resident Contacted �'
Date Completed: , Completed by:
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' - City of Fridley
- . ._ :.... Wat?r Dppartment
... _ .�.._
6431 Universiiy Avenue NE
Fridley,MN 55432
(763)572-356fi
I/we 6ereby authorize the�tY af Fridley and/or its
empioye+as to do what'rs necessary tc replace the water meter,!urulerstand that the property owne�
lc tiahle for t e water line from the main ta the premise and an interi�r'plam6ing. (Per City cade
402.Q6) I.atsa hold the C�ty of Fridtey andrts empioyees harmlessfor an�damages tnac may occur
while doing this operation. This to indude,but nat limited to;ual+►�s�Pip���,���s+�°°n or the curb
stop 6ox and service line. I understand 1 am also required to ohtain a Permrt Priar to any work�if
necessary.
�inal meter reading(old met�r) ��� ���
Name: Address: �= �I LL����� .
Phooe Number• a te:--�`��� (�p - .
Signature:
1Nitness Signature•
FRIDLEY CITY C�DE
CHIQtPTER 402.WATER,57�RM WATER,ANO SANI1'ARY SEWER
ADMINISTRATItIN
(Ref Ord Nn 113,464,565;55fi,6�9,538,562,92Z,988,1144,1156,1191J
' 40�.05.PERMIT FEE .
Prior to constructing or repair af any water or sewer line connectingthe existing municipal system and any house
or building for which the appiication is made,the owner or contractar shall be required ta abtain a permit for such
conttectian,and shall pay a permit fee as pravided in Chapte�11 of this Cade. After such cannectian has been
made,the 1Nafi.er and Sewer aepartment shall be natifted. It shaii he unlawfui ta cover any connecting line unti)an
inspection has 6een made and such cannecCion and the work incident thereto has 6een approved by the City as a
prnperand su�table connection.
402.06.REPAIRS AND MAtNTENAfdCE T��ONNECTIQN
, __�___�...,n+�th��tier service curh�tap bnx arthe sewer lead atthe pro�rt'�
A�'��IGII#.i��-COApB�(D!]�,u�.++
(ine or a wat�er servtce or sewer lead has been extended to the properryline far connechon,the appliant,owner,
or the occupant or user of such prem'�ses shall be liabie for a!(�epalrs required to any water line and sewer lines
necessary for connection of the prernises ftom the main to tfie premises. If the prop�tty owner requests
maintenance senrice dr repairs 6e performed by the City,the prap�ty owner shall be charged for the casts af the
. maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by.an adminlstrative
policy. It shail be the responsi6il'rry ofthe applicant,owner,occupant or user to perForm Standard rnaintenance of
• the sewer service line fram the premises to the main induding de6ris clearing ar raot cutting and tn maintain the
water SerUic�cur6 stap box far operability and at such height as w�11 ensure that it remains abnve the finished .
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