Meter Swap " Request Number: 9406
Public Works Division
5ervice Request
Problem Address: 5571 East Bavarian Pass Requested By: Alamat Jebad
Department: WATER Address: No address provided
Problemiissue: INSTALL AMRMETER Phone Number: 763-502-1479
Scheduled Date: 2014-11-12 Scheduled Time: 10:30:00
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ACITON NEEDED:�nstall AMR
Created by: Jeannie Benson Date Created: 2014-11-06
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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- - City of Fridley
- __... �/atar Dppartm�nt
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6431 University Avenue NE
Fridley,MN 55432
(763}572-3566
I Jwe hereby authorize the�tY°f Fridiey and/or its
employees to do what is necessary to repiace the water meter, I unde�����e Pf°Rerty°wner
is liable far the water line from the main to the premise and all interior plumbing. (Per City code
402.06� 1 aisa fiold the City of Fridley and/its employees harmiess for any aamages zna�mar�.��
while doing this aperatiun. This to indude,but nat limited to;valres►P�p��g►w���s,floors or the curb
�top box and service line. 1 under�tand I am also required to o6t�n a permit prior to any work,if
necessary.
Final meter reading(oid meter) �« �� `-' .
Name: Address: ��7� �'�S-F- ��acidh._�i155
Phone Number: uate: ��l i��iy
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Signature•
Witness Signature:
FRIDLEY GTY CODE
CHAPTER 402.WA7ER,STORM WATER►AND SAN�TA�Y 5EWER
ADMINISTRATION
(Ref Ord No 113f 464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
e Prior to constructing or repair of any water ar sewer line connecting the eadsting municipai system and any house
or bui�ding for which the application is made,the owner or contractor shali be required to obtain a permit for such
connectian,and shall pay a permit fee as provided in Chapte�11 of this Code. After such connectian has been
made,the 1Nater and Sewer Department shall be notified. It shatl 6e unlawful to caver any connecting iine u�il an
inspection has been made and such connection and the work incident thereto has been appraved by the City as a
proper and suitable connectfon.
402.06.REPAIRS AND MAIN'fENANCE 70 CONNECfION
���p�p�� ___�_�.,t:,+tio�„�r�S�rvice cur6 stoo box nr the sewer lead at the propert"
line or a water service or sewer lead has been extended to the property line for connectinn,the applicant,owner,
or the occupant or user of such premises shail be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the p�opg[ty owner requests
rnaintenance service or repairs be performed by the City,the property owner shail be tharged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an admin'�stradve
policy. It shali be the�esponsi6ility of the app�i�ant,owner,occupant or user to perForm�tandard maintenance of
• the sewer 5ervice line from the premi5es to the main inciuding debris ciearingor raat cutting and to maintain the
water service cur6 stap box for operability and at sucb height as will ensure that it remains above the finished '
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