Meter Swap • Request Number: 12955
,
Pubtic Works Division
Service Request
Problem Address: 101 Gilxalter Rd Reqneated By: Porfirio Perez
Depsu�tme�: WATER Addre:a: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-618-8768
Scheduled Date: 2017-01-20 Scfie�nled 1lme: 07:30:00
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ACIION NEEDED:Install AMR Not�etting readings.A—,E-�x--���t S �'��
Created by: Wendy Hi�tt Date Crcnted: 2017-01-19
ACIION TAKEN:
lts`��-�.
Status: In Progress 5nbmitter Has Beea r,
Contacted
llnte Completed: Completed by:
� ���-�1 �
itVa�er De�sart�raent � U �� G�]
6431�Dniversitgr Avena�e N� � (
Fridley, MN 554�2 S,-. a t��� ��
763-572-3566 1 Q� '�
�O�e hereby authorize#he Cityr af Fridley and/or its empioyees to tio what is necessary to
� repPace the water meter. 1 unclerstand that the property owner is liable for the swater line from the main to the premise and all infierior
pluenbing. (Per City�ode 402.06) i also hold the Crry�of Fridley and/'rts empioyees harmless#or any damages thaC may occur while doing this
operaticn. This to include,but not limited to valves,piping,walis,floors or#he surb stop box and service line. In understand i am alsc require�
to obtain a perm'rt pr�or to arry�rork,if necessary.
Fri1fAL METER READING{old meter)__ � � �j� � �`,/
Name:���'� �'R�(� ���-t� 1�� 1������� �-�
Address
Phone lYumber p� _ � -��1 �
/� r � �
Signature � Y�l-- `' �� ��.y'�. Witness Signature
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OLD METER#_ ! ����,' ���1�'��,,
OLD READtNG � ��� � 1 �
NEW METER# �� �� �� IlJ V
NEW READING _ �
ERT# � U�V��C��
FR{DLEY C17Y CODE
CHAPI'ER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 123,464,565,566,6Z9,638,662,922,988,1144,1156,T191j
402.5 PERMIT FEE
Prior to constructing or repair of any wafier of sewer rne connecting the existing municipal system and arry house or tw�(ding fior which the
app6cation is made,the owner or cor+tractor shall be required to abtain a perm'rt for such connection,and shall pay a permit fee as pravic{ed�rr
Cha�ster 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be�ot�ed, it shalt be untawful to cover
any connecting line until an irrspection has been anade and such connection and the wor�c incidertt thereto has been appro�ed by the City as a
proper and suitabte connection.
�02.06 REPAiRS AAiD MA1 CE TQ COAINECTION
After the initiafEonneck'son fias been made to the water service curb stop box or the searer lead at fihe property line or a water service lead has
been extended to the property line for connection,tfie appiicant,owner,or accuparit or user af such premises shaii be liable for all repairs
required to any water line and sewer{ines necessary for connection of#he premises from the main to the premises. !f the property owner
repuests mairrtenance ser+rice or repairs be pe�-formed by the C'ity,the properiy owner shali be charged for the costs of#he mairrtenance and/or
repairs,including necessary street�epairs at a rate set annualiy by an administratide pofiry. it shaq be the responsibility of th¢app��carit,
owne�,occupant or user to per#orm standard maintenance of the sewer service iine from the premises to the main including debris dearing or
root cutting and to mairrtaln#he water service r,urb sfiop box for operability and at such height as wili ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)