Meter Swap t
� Request Number: 16542
Public works Division
Service Request
Problem Address: 5607 4th St Requested By: Amber
Department: WATER Address: No address provided
Problem/Isaue: INSTALL AMR METER Phone Number: 612-22'7-5607
Scheduled Date: 2017-08-08 ,� Schednled 13me: 11:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-08-01
ACIION TAI�N:
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Status: In Progress ���er Has Been r..
Contacted
Date Completed: � �- g-- (`'� Completed by: ���L�
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�i�ty o�Frac6ley
, ` Ll/ater�eparta�a�ere� �i- ,- ��/`��U�-�(�
�431 i�nivers7ty�lvenue NE
FrBdley,MIV 55432 S� ���
763-572-3566
9/we hereby authorize the City o�F Fridtey and/or its employees to slo what is necessary to
replace the water meter. i understand that the property rnvner is liabte for the water line from the main to ihe premise and ali irnerior
plurnbing. (Per City code 9�02.06) e also hold the City of Fridley and/its employees harmless#or any damages Chat may o�xur wh7e doing this
operation. This to inctude,but not limited to+r�lves,giping,wails,floors or the curb stop box and service line. in undeesWc�d 1 am also require
to abtain a permit prior to any tvork,it necessary.
FIPIAL METER READtI►lG(oid sneter) �� �� � `� �
Plame: - ����°� Address_ ;l �v� �'� 6j'�'
Phone!Yu er �G f � Z� �V� `
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�ignature Witness Signature `'�'—��
OLD METER#_ _ 1 1 CQ� o'�����
OLD READIMG � f � � �CQ�
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FRIDLEY CITY CODE
CHAP'PER 402.WATER,STd�ttM WATER AMD SAN4Tl�►RY SEWER
s4DMINIST4iAT10N
(ltef Ord No 113,4�64,565,565,629,638,662,9�2,988,1144,1156,1191j
402.5 PERM4T FEE
Prior to construcCing or repair of arry water of sewer iine connecting the existing municipai system and arry house or buitding for whic(�the
applicatian is made,the owner or com;ractor shall be required to obtain a permit for such connection,and shali pay a�rmit fee as provided in
Chapter 11 of this�Code. After such connection has been made,the Water and Sewer Departmerrt shat(be notified. tt shaN be unlaarfui to cove�
any connecting line until an inspeetion has been made and such connection and the work incident tfiereto has been approved by the Crty as a
proper and suitah(e co�nection.
402.06 REPAIRS AiYD MAtNTERtANCE TO COAIIYECT{ON
After the initiaf connection has heen made to tFse watec service curb stop box or the sewer lead at the property line or a water service lead has
been emended to the property line for connection,the applicarrt,owner,or occuparit or user of such premises shall be liabte for afl repairs
required to any water line and sewer lines necessary#or connection of tfie premises from the main to the premises. Ff the property oarner
requests mairrtenance service or repairs be performed hy Che City,the property owner shaN be charged for the costs of the mairttenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poficy. It sfiafl be the responsibility of the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris dearing or
root cutting and to maintain#he water service curb stop box foc operability and at sucfi heigfit as wiif ensure fihat it remains abvve the finished
grade of the land or property. (Ref 638,1156,11911