Meter Swap t
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Request Number: 15620
Public Works Division
Service Request
Problem Address: 184 Gibraltar Rd Requested By: Bri�I�rosc
Departme�t: WATER Address: No adc�ess provided
Problem/Issue: INSTALL AMR METER P6one Number: 612-709-0607
Scheduled Date: c�7-06-02 / Schedaled T1me: 07:00:00
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AC1iON NEE�ED:
Create�by: Beth I�o�drick Date Created: 2017-OS-30
ACIION TAI�N:
PI� ►� �- ���s�.1-�- A ��
Status: Tn Progress ���er Hns Been r.
Contacted
Date Coffipleted: Compfeted by:
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�i�ofFr6dley �V s✓ �'�`� �� 'r� 4-
Wa�er�epartratent ( (�
; 6431 lDnivers6ty Avenue IVE uD � °�
Frid9ey,MN 55432
763-572-3566
rJ°"�e hereby authorize the Crty of�ridley and/or its emptoyees to r!o what is necessary to
replace the water meter. I understand Chat the pro�oerty awner is liabte for the�nrater line from the r►iain to the premise and alf interior
ptumbing. (Per City tode�02.06) B also hoid the City of Fridiey and0'rts employees fiarmtess for any damages that rnay occur while doing this
operation. 7'his to indude,but not limited tv valves,pipin�walis,floors or the curb stop box and ser+rice line. in undersCand t am aiso require
to obtain a permit prior#o any wor6c,if necessary.
FItVAI METER liEADiAtG(o1d meter) �—` �� ���
Neme: ��( t� k/VY��Je• Address � f�"L �1 YJ�I�� �
Phone Number C�I�2 �� --VW� Date +�^ �� "�
�i Signat e Witness Signature �„
OLD METER#_ � ` 1� ����
OLD READtNG v�� � �O
���,��R��2��2 I C�
NEW REA,DINt; lJ
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FRIDLEY CfTY CODE
CHA[rCER 402.WATER,STORM WATER AND SAPI{TARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191J
402.5 PERMIT FEE
Prio�to constructing or repair of any water of sewer line�nr�ecting the existing municipal system and any hause or Iwilding for which the
application is made,the owner or contrador shati i�e required to abtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 af this Cade. After such connection has been made,the Water and Sewer Departmerrt shal!6e aotified It shail be unlawfui to cover
any coanecting line untif an inspectiort has been made and such connection and the wvrk incident thereto fias been approved by the C"ityl as a
proper and suitable connection.
402.06 REPAiRS AMD MAINTENANCE TO CQMNECTION
After the initial connection has been made to the water senrice curb stop boec or the sewer(ead at the property line ar a wate�sesvice(ead has
been exte�ded#o the pr^operty 6ine for sonnection,the applicar�fi,owner,or occupant or user of swch prersiises shall be liabte for atl repairs
required to any water line and sewer fines necessary far connection of the premises from the main to the premises. If the property oaroer
requests maintenance senrice or repairs be performed iay the C"�ty,the property owner shall be charged for the costs af the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative po4iry. !t sfiaff be the responsibil'rty of the applicar�t,
owner,occuparrt or user to perForm sta�dard maititenance of the sewer senrice line frvm the premises to the main including debris dearing or
root cutting and xo maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 538,1156,1191j