Meter Swap � �` Request Number: 14680
Public Works Division
Service Request
Problem Address: 5084 Topper Lane NE Requested By: Jeremy Doschavis(Son)
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-458-5686
Scheduled Date: 2017-04-22 Scheduled'19me: 01:00:00
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ACITON NEEDED:install AMR Meter
Created by: Jeatmie Benson Date Created: 2017-04-13
ACTION TAKEN:
_OLD METER.NO. ..
OLD METER READING:
NEW METER N0.
ERT#
Status: In Progress Submitter Has Been �,
Contacted
Date Completed: Completed by:
° City of Fridley
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Water Departrnent
b431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the rnain to tbe premise and all irKerior
plumbing. (Per City code 402.06) 1 alw hold the City of Fridiey and/its employees harmless for any damages that may ocsur wh�le doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINA METER READIN old meter) ��` � �" ��
Name• +R, �S Address��� �tl(��1 I.r
Phone Number � "—ru�'� Date �r Z�' � (
SignAture Witness Signature
OLD METER#�, �0� D�1�
OLD READING f`15z .3�aO � I I�
III HIIII� NIIIHI
NII
NEW METER# �920 �97
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NEW READiNG
E�# IIIIIIIIIIIIIIIIiiiiil E
. 11 72223309 �
� FRIDLEY CITY CODE
CHAPTER 4Q2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to cor�structing or repair of any water of sewer liae connecting the existing municipal system and any house or building fo�which the
application is made,the owner or contractor shail be required to obtain a permit for such connectton,and shall pay a permit fee as provided in
Chapter 11 of this Code. After sucb connection has been made,the Water and Sewer Department shall be notified. it shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incider�t thereto has been appraved by the City as a
proper and suitable connection.
402.06 REPAIRS�1ND MAINTEPIANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or occupar�t or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shafl be charged for the costs of the matntenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at sucb height as will ensure that it remains above the finished
grade of the land or property. �Ref 638,1156,1191)