Meter Swap � • ' Request Number: 15606
Public Works Division
Service Request
Problem Address: 4701 Main St Requested By: JeffMorton
Department: WA'IER Addreaa: No address�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 651-283-0934
Scheduled Da�te: Scl�ednled'Rme: 07:00:00
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ACITON NEEDED:
Created by: Wendy Hixtt Date Created: 2017-OS-30
AC1iON T
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' . Status: In Progress Submitter Has Bees r '
Contacted
Date Com teted: Completed by:
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water�e�artme�,t
° 6431 i�c�iversity Avenue NE ��j �� ^
� Fridl�y,MN 5543Z ���� �'�
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7fi3-572-3566
'`NVe hereby authorize the Crty of Fridtey andJor its empbyees to do what is necessary ta
replace the water meter. (understand that the�roperty owner is liable for the water line from the rnain to the premise anc!al{irtterior
plumhi�g. (Pec Lity code 402.06) I also hold the City of Fridiey and/its employees haemless for any damages that may occur while doing this
operation. This to inctade,but not limited ta valves,pipi�g,walts,floors or the curb stop box and senrice line. In understand t am afso require
to obtain e permit prior to a�y work,if necessary.
FBNA!METER ltEADlAiG(old meter) � ��"� ���
Piame: <i�" ��h Address �� v� ��� �
Phone Numb r ��'"�'���.J- `�� pate �� w� {�
�'��^�r Witness Signature
Ol.D METER# d 1J�����(o
OLD RfADING ���v V�D
NEW METER# �`�`���Z�
NEW READtRIG V
E4iT'# � �v v� �J�"1
FRIDLEY CITY CODE
CFiAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATiOtY �
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,i191J
402.5 PEitMiT FEE
Prior to constructing or repair of any water of sewer line connecting the exisCing municipa!system and arry house ar buitding for which the
application is made,the owner or contractor shatl be required to a6tain a permit for such connection,and shall pay a permit fes as provided in
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departme�rt shall be noti�ed It shalt be unfawfui to mver
any connecting tine until art inspection has been made and such connection and the wor&incident thereto has been approved by the CitY as a
proper and suitable aonnection.
402.06 REPAIRS AlVD MAINTENANCE TO COIYPIECTION
After the initial connection has been made to the water service curb stop box or the sewer iead at the property line ar a water seroice lead has
been ex#snded to the property line for connection,the app(icarrt,owner,or occupant or user af sucfi premises shall be Pwble for ail repairs
required to any water line and sewer Gnes necessary#or connection of the premises from the main to the premises. If the property owner
requests mai�tertance service or repairs be pe►-Formed by the C7ty,the property owner shalt be charged for the costs of the mairttenartce and/or
repairs,inciuding necessary street repairs at a rate set annual[y by an administrative poficy. it shaii be the responsibifiry of the applicar�t,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris dearir�g or
root cutting and to maintain the uvater service curb stop box for operability and at such height as wiN ensure that it remains aboae the finished
grade of the iand or property. (Ref 638,1155,1191j