Meter Swap l
t Request Number: 16396
Public Works Division
Service Request
'� Problem Address: 6430 Ri�erview Terr Requested By: Kadhim
Department: WATER Address: No address provided
,,,"#� Problero/Issue: INSTALL AMR METER Phone Number: 612-408-3500
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Scheduled$ate: 2017-07-21 Schedaled 13me: 02:00:00
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ACTTON NEEDED:
, Cre's�ed by: Wendy Hiatt Dsite Created: 2017-07-19
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���1CTION TAI�N:�_
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�tatus: In Progress Submitter Has Been �
Contacted
Date Completed: � �.�t ��� Completed by:�a�
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i° 6431 lJnovers6ty Aventae 6V� ��
Fridley,MN 55432
763-572-3565
�,`"re hereby authorize the City of�ridley and/or its employees to do avhat is necessary to
replace the water meter. t understand that the�roperty owner is tiabfe far the arater line from the main to the premise and all�nterior
plumbing. {Per�C'ity code 402.06) I also hold the City af Fridley and/9ts employees hermtess for arry damages that may oecur while doing this
operatiom. This+to include,but not limited to vabes,pipin�walis,floors or the curb stop boz and service line. !n understand l am also requirE
to obtain a permst prior to any wor[c,if necessary.
FINAL METER READIfYG(old meter) � � �� �"
Name: l�� ���� Address �a � rJ� �V����l(/� �`�r1r
Phone�lumber S.�o'v�.r — ��'�5a� Date_ 6 �-- p�/1,--� �j�
�
�' nature Wttness Signature i!
OLD METER# �"� �v� ��
OLD READING � �� � � �
NEW METER# _ { f v�S Z / p�..
NEW READING V
ERT# _ ` � t+ t � ` � 6
FRIDLEY CITY CODE
CNA4�TER�02.WA�ER,STORM WATER AND SANITARY SEWER
ADMlWISTRAT{ON
(lief Ord No 113,464,565,566, 629,638,662,322,988,1144,1156,1191.j
402.5 PERA+1lT FEE
� Prior to�coastructing ar repayr of am/water afi sewer line connecting tt�e existing municipal system and any house or bui(ding for which the
application is made,the owner or corrtractor shall be required to obtain a perm'st for sucfi connection,and sfiaft pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. tt shatl be uniawfut to cover
any connecting line unfiil an inspection has been made and such connection and the work incident thereto has beert approved by the Crty as a
proper and suita6te connection.
402.06 REPAIRS AP(D MAIPITENANCE TO COMNECTION
After the initial connection has been made to the water service curb stop box or the sewer tead at the properiy line or a water service dead has
been extended to CHe property line for connection,the applicant,owner,ar occuparrt or user of such premises shall be liai�le for all repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be perFormed by the C�ty,the property oarner shall be char�ed for the c�ts of the mai�enance and/o�
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shafl be the responsibility af the applicarn,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris dearir�g or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure thafi it remairis above Che�nished
grade af the land or property. (Ref 638,1155,1191'