Meter Swap ��
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Request Number: 7033
Public Works Division
Service Request
Problem Address: 841 66th Av�e Requested By: Brad Rettice
Department: WATER Address: No address provided
ProbleMissue: INSTALL METER(WATER) Phone Number: 572-0733
Scheduled Date: 2013-10-02 Scheduled Time: 11:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-24
AGTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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. City of Fridtey
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
��We hereby authurize the City of Fridley and/or its oWner
employees to do what is necessary to replace the water meter. 1 understand that t Pe rope a�
is liable for the water line from the main to the premise and all interior ptumhing. ( �Y
402.06) I also hold the City of Fridley andJits employees harmless far any damages that may occur
while doing this operation. This to include,but not limited to;valves,p�pm���I�r to any wo k�urb
stop box and service line. 1 understand I am alsa required to obtain a pe P
necessary. �
Final meter reading(old meter) �.,,_,_�
Address:
� �i �
Name� �
Pho�e Number: �L� ��a L�.Z��ate•�— �
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629.638,662,922.988,1144.1156,1191) _
402.05.PERMIT FEE -
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the ow Cha ter 11 of this Codee After suc h conneeti n has1been uch
connection,and shall pay a permit fee as provided m p
made,the Water and Sewer Department shall be notified. it shall be unlawfu�to cover any�°�ved by the City as a n
inspection has been made and such connection and the work incident thereto has been app
proper and suitable connedion.
402.06.REPAIRS AND MAlNTENANCE T�CONNECTION
After the initial connection has been made to the water service curb stop'n�forrconnect on'the appi cant owner,
{ine or a water service or sewer lead has been extended to the property
or the occupant or user of such premises shail be liable for atl repairs required to any wate��ner reduests r��nes
necessary for connection af the premises from the main t{he p operty owne shalt be charged for he costs of the
maintenance service or repairs be performed by the City, an administratnre
maintenance and/or repairs, in"udof the anplicant awner,o cupant or user to perfo m st ndard maintenance of
policy. It shaN be the responsib I ty P
• the sewer service line from the premises to the main�n�e dn aa W,�I ensure hat t ema ns abo e the fln shed e
water service curb stop box for operability and at suc g
grade of the land or property. (Ref 638,1156,1191) ,