Meter Swap Request Number: 7568
Public Works Division
Service Request
Problem Address: 6866 7th St Requested By: Frank Swider
Department: WATER �dress: No address provided
Problem/Issue: INSTALLAMR METER(WATER) Phone Number: 612-209-9559
Scheduled Date: 2014-02-27 ' � Scheduled Time: 10:00:00
D'. rn
ACTION NEEDED: Instafl AMR(2013 AMR tist)
Created by: Wendy Hiatt Date Created: 201402-25
ACTION TAKEN:
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Status,: In Progress Resident Contacted ❑
Date Completed: Completed by:
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_ City of Fridley
Water Department
6431 University Avenue NE
- Fridtey,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and{or its �ner
� empfoyees ta do wfiat is necessary to replace the water meter. I understand that the propertY
is liable for the water line from the main to tfie premise aed all i ste4 oan��a�g��at mey oaur
402.06� I also hold the City of Fridley and/its employees harmles ;Y`n �`�SI���or the curb
white doing this operat�on. This to include,but not limited ta;valves,p p �. .
stop box and service line. {understand I am also required to obtain a permit pnor ta any work,if
necessary.
Final meter reading(ald meter) � � � _
P���, .�.�-ri� �� ,
Address• �
Name� �
. Date:_�`�� ,
Phone Number• �, .
Signature:
Witness Signature:
FRIDLEY GTY COQE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord N0113,464,565,566,629,638,662,922,988,1144,1156,1191)
402A5.PERMIT FEE
Priar to constructing or repair of any water or sewe�-tine connecting the existing municipal syste►Y►and any house
or building for which the applicatian is made,the ownera ter 1 of this Cndee After suci�connection has been uch
connection,and shall pay a permit fee as provided in Ch p
made,the Water and Sewer Department shall be nothe Work ncident there oI has been app oved by he City as an
inspection has heen made and such cannection and t
Propec and suitable connettion.
402.06.REPAIRS AND MA1N1'ENAPICE TO CflNNECTION
After the initial connection has been made to the water service�o�e�0p��e for conne an4 the ppi cant owner,
line or a water service or sewer lead has been extended to the p p rtV
or the occupant or user of such psemises shall be tiabie far all repairs required to any waCo�nerrequests r y���s
necessary for connection of the premises from the main to the premis o��er shali be harged for the costs of the
maintenance service or repairs be performed by the City,the propertY an administrative
maintenance and/or repairs, inclu 0��he anelicant,aw ert ccupant or user to perfo m standard maintenance af
policy. It shall be the responsibil�ty PP
- the sewer service fine from the premises to the mai c�he dh as w II ensure hat t ern ns above the fi ished e
water service curb stop bax for operability and at�u g
grade of the land or praperty. (Ref 638,1155,1191)