Meter Swap f •
Request Number: 16373
Public Works Division
Service Request
��,�, ' Problem Address: 6074 4th St Requested By: lhuy
Department: WA1ER Address: No address�ovided
Problemllssue: INSTALL AMR METER Phone Number: 763-447-0784
Scheduled Date: 2017-07-20 � Scheduled'time: 10:00:00
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��� r ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-18
ACTION T.AI�N:
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Status: In Progress Submitter Has Been �..,
Contacted
`Date Completed: ��, ^� ,,��� Completed by: c
aw ,d 4�..��
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�i�a���adley �� �''��" ►'�����Q �
` 1A/ater�epartment
fi431 l�niversity Avenue NE �� � �O 7f�
Fridley,MN 55432
763-572-3565
�t°"�e hereby authorize the City of Frtidley and/or its empioyees to do what is necessary to
replace the water meter. i understand#hat the g�roperty owner is liable far the water line from ihe main to the premise and all iriCerior
plumbing. (Per�ifij code�40Z.06) I also hold the City of Fridley andPts emplayees harmless#or arry dasnages that may ouur wfiife doing this
operation. '!'his to include,but not fimited to valves,pipin�walls,floors or the curb stop box and service line. in understand 1 am also require
to abtain a permit preor to any wor&,i#necessary.
FBNAL MEI'ER READING(oid meter} �� �� 0 / v _
Name: _��y Address�Q � /-1 � � �-.
Phone�lumber_��3— -{-i / ' 87U'7 pate_ l -' �„(�-- 1�
Si natare '""�
�� Witness Signature
OLD METER# �����_I CQ �.
OLD READtNG �� �� ���
NEW METER# l t �� ��5�
NEW READING �
ERT# (�-L� � l ��
FRIDLEY CITY CODE
CHAPTER Q02.WATER,STORM WATER APID SANITARY SEWER
ADMtNISTRATIOR!
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,I156,1191)
402.5 PERMIT FEE
� Prior to�constructing or repair of arry water of sewer line connecting the existing municipal system and any house or buiiding for which the
appiication is made,the owner or cor�trackor shali be required to abtain a permit for such connection,and shali pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewec Departmerrt shall be notified. It shali be uniawfui to cover
arry connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
praper and suitabte connettiort.
�02.06 REPAIRS AND MAINTENANCE TO COPIPIEC770N
Mfter the initiai connection has been made to the water service curb stap{�ox or the sewer tead at ihe property line rn a water senrice lead has
been extended to the property line for connedion,the apptica�t,owner,ar occuparrt or user of such premises shall be iiable for all repairs
required to any water(ine and sewer lines necessary for connection of the premises from the main to tF�e premises. If the property owner
requests mairrtenance service ar repairs be perFormed by Che�ty,the property oarner shall be charged for the costs of the mairitenartce and/ar
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 mairt inctuding debris clearing or
root cutting and+to maintain the water service curb stop 6ox for operabii'ity and at such height as wili ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191'