Meter Swap FROM :CITY �F FRIDLEY FA� N0. :7b357112�7 Jan. 2� 2015 03:�0P� P1
Reque�#�N�rnber: 9714
pu6tic Warks 1�lvfs�n
Serv�ce Reqaest
...._..__......._�..w..._.__._.�_...—___ ....___...._.._____....
1'roblem Addre�b: 62110 St�liee Bl�sl NI's .._""`..._. _..___...__.�._ .. , . ._.
Ue�ttmenk �9a�ted 8y: CYaig Hp[tas
WATfiR. Aitdr�: No�provided
Frohiemtlss�: TNSTALl.AMR METER 1'he►ne Nnn�ber:
7b3-3 t?t}-Z�SU
Scbfiduled Drte: 2015�p1-2B hetNded 11me: 08:30:04
� � �
AC710N NF:F,�1EU:h�stall AMR
Created�r Jcan»ia Bcnson I�Creatted: 2015-41-23
AC.:TIUN TAIfGIV;
<;,�,::�
,:,� . OLD MET�R NCl: $ 7 b � O ��� .
� QLb M�TER RE,AF)TA7C�: �a� 1�d
� NEW METER �TU: I-� �-� � `�,a,�.,.� �T
• ER'T' Rl'C1. � � I. � � � � �
Statie�: In Pro�Cs Resideni Cvut�t�t1 �
ihtte Comple�kecl:
Com�cted by;
� 1 � �.G�l S
.
� • Ciry of Fridley
- _..,. iNater Dppa��nt � _
.....
6431 University avenue NE �
Fridley,MN 5543Z
(763j 572-3566
�f We hereby authorize the�tY af Frid{ey and/or its
emplayees to do what i�necessary ta replace the water meter. I w�derstana�at the P�Perty owner
i�liabie for the water line from the main fio the premise and ad interior piumbing. (Per City code
40Z.06) 1 alsa hold the Giy of Fridtey and(it�employees harmless or any ama�ges a maY
while doing this operatian. This tu include,but nat limited to;vahres►P�Pi��►���s,floors or the arb
stop box and service line. 1 understand i arn also required to ohtain a permR prior to any work,if
nece�ary. .
Final meter reading(old meter) I � � ` �� v
Name• Address•
Phone Number �t�• I��v^ ! �
5ignature�
�'—
lAlitness Signature•
FRIDLEIf CITY CODE
CHAPTER 402.WATER,STORM WATER,AND 5�1NiTARY SEVUER
ADMlN15TRATiON �
(Ref Ord No 113,464,565,556,5Z9,638�662,922,988,1144,1�.56,1191)
402.05.PERMIT FEE -
Prior to constructing or repair of any vuater or sewer tine connecting the existing municipal system and any house
or 6uilding for which the applicatian is made,the owner or contractor shall be required to obtain a pem�it for such
cannection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the 1Nater and Sewer Department shail be notified. It shall he unlawful to cover any cannecting line until an
inspectiun has been made and such conne�tion and the work incident thereta has been approved 6y the C'ity as a
proper and suitable connectian.
402.06.REPAIRS AND MAINTENANCE TO CONNECiION �
������ ___�..,,,,+�,�,o�.�rar service curh stop bnx or the sewer lead at the propert�
line ara water service ur sewer lead has been extended to the propertyline for connecdon,the appficant,owner,
or the�ccupant ur user of such premLses shail be liable for all�epairs required to any water line and sewe�lines
neces5ary for cannection of the premises from the main to the�premise�. If the prop�[ty owner requests
maintenance service ur repairs he perfarmed by the City,the pro�erty awner shall be tharged for the costs of the
. maintenance and/or repairs, including any neces�ary street repairs,at a rate set annually by.an adminlstrative
policy. It shaq be the resporui6ility ofthe appliqnt,owner,occupantor user to perform standard maintenance of
- the sewer service line from the premises ta the main including debris clearing nr root cutting and to maintaln the
water service curb stop box fnr operabil'fir and at such height as wiil ensure that it remains above the flnished
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_,:. .. � _ s t �1 i . . .. .. .. . . ... . . . .
grade of tti�la�rd or-�rop��.y.-(Re�6�'S,-y��,.t}9 _. _ .._ _.._