Meter Swap. _ , ,,.F __ _. , �����s� �Tu�ber: 92�� _ ,...
Public Works Division
Service Request
Problem Address: 6423 Stazlite Circle Requested By: Gary Wellner
Department: WA'TER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-670-7690
Scheduled Date: 2014-10-30 Scheduled Time: 10:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-27
ACTION TAI�N:
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Status: In Progress Resident Contacted Ci
Date Completed: Completed by:
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- City of Fridley
. . . - ._ . . : 1�iat�r Gepartment . - , .
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6431 University Avenue NE � ��
Fridley,MN 55432
(763j 57Z-3566
iiwe hereby authortze the t�ty of F�idfeY and/or its
employees to do what is necessary to replace the water meter. I understand d�at the property owner
_�s liable for the water line from the main to the premise and aU interior plumbing. (Per City cade
402.�) 1 also ho{d the City of Fridley and/its employees harmless r any amages may �-
white doing this operation. This to inciude,but nat limited to;valves,piping,walls,flaors nr the curb
stop bax and service line. I understand i am also requined to otrta(n a permit prior to any work,ff
necessary.
Finai meter reading(old met+er) � � � �'��
Mame• Address• l�J►�J '✓��'� 1�, �J�
Phone Numher. Date: l,ll ��l �
5ignature• ' � �
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Wltness Signature•
FRIDLEIf CITY CC1�E
CHAPTER 402.WATER,STCIRM WA7ER,AND SANITARY SEWER
ADMINiSTRATION
(Ref Ord Na 113r 464,565,566,629,638,562,922,988,1144,1156,1191)
. ,�40�.OS.PERMfT FEE �
Prior to constructing or repair of any water ar sewer line connectingthe existing municipal system and any house
or huilding fur which the application is made,the owner or cantrector shall be required to obtaln a permit for such
connection,and shall pay a permit fee as pravided in Chapte�11 of this Code. After 5uch canneetion has 6een
made,the Vllater and Sewer Department shal{be natified. it shal{be unlaw(ul to coverany connecting lis►e until a�
inspection has been made and such connection and the work incidentthereto has heen approved by the City as a
properand suitable connection.
402.d6.REP'AIRS AND MAINTENANCE TO C�NN�CiION
,A#er-�p�iai#ial-c�nrtec#ianhas 6Pa^rnad�t�the water service curh stou bpx or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the appficant,owner,
or the�ccupant or user of such premises shall be liable far all fepai�required to any water line and sewer lines
neces5ary for connectian af the premtses from the main ta the premises. lf the prop�tty owner requesks
maintenance service flr repairs be performed by the Ctty,the property awner shall be c�arged for the cQsts of the
. maintenance andj�r repairs, induding any necessary street repairs,at a rate 3et annuaf{y by an administrative
poticy. It shali be the responsibility af the appiicant,awner,accupantor user to perform standard maintenance of
' the sewer service line from the premises ta the mafi including de6o5 clearing or root cutting and to maintain the
water service cur6 stop box fo�operability and at such height as win ensure that it remains above the finished
_ . . . .. ._ ._ . __. . -- .;. ..
,:'gn.ade of�tii�lard orproperiy.�{Ret 630,Z�S,.t�93:� .. . .. . .. --