Meter Swap �
� Request Number: 14890
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P'ublic works Division
Service Request
Problem Address: 5260 Horizon Dr Requested By: Tl�mas Haskin
Department: WATER Address: No address provided
Problem/,jssue: INSTALL AMR METER Phone Number: 572-8270
Scde�uied Date: 2017-OS-01 SchedWed'[ime: 11:3Q:00
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�ts'1ION NEEDED:
` C�rcatetl by: Wendy Hiatt D�tte Crsated: 2017-04-24
ACT�ON TAKEN:
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Status: In Progress Snbmitter Ras Been r
Contacted
Date Completed: �� �,� �� Completed 6y: (�
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City of Fridley ��� �Of�
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its empioyees to do what is neceuary to
repiace tfie water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali itrterior
piumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its emploYees harmless for any damages that may oau�while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service tine. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
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FINAL READING(old meter) v�� ��—�
A1ame: �1``�v�) �Q S�� Address `e V \, 1��� �--CJ� ��
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Phone Number ���~ � ` " Date � '
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Signature �tness Signature
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OLD METER# �, I 4`Q
OLD READING ���� v��
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NEW METER# I Y✓ -+� �
NEW READING � ,
E�# �� `�� 133�1
FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7RATION
(Ref Ord No 113,464,565,566,6Z9,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior ta constructing or repair of any water af sewer tine connecting the existing municipal system and any house or bullding for whlch the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Cfiapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall be unlawfu4 to cover
any connecting line until an inspection has been made and such connection and the work incide�t thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS APID MAINTENANCE TO CONNECTION
After the initial connectto�has been made to the water service curb stop box or the sewer tead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Itable for ali repairs
required to any water fine and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shail be tharged for the cos�x of the mair�tenance arM/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility o#the appficaM,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main incfuding debris ciearing or
root cutting and to maintain the water service curb stop box for aperability and at such heigfit as will ensure tfiat it remair�s above the finished
grade of the land or property. (Ref 638,1156,1191)