Meter Swap t
Request Number: 16345
Public Works Division
Service Request
Problem Address: 5380 5th St Requested By: Lon
Department: WA1ER Aaddress: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-0009
Scheduled Dgte: 2017-07 4 ^ r1 SchedWed Ti�e: 11:00:00
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ACITON NEEDED:
Created by: Wendy Hiatt I?ate Created: 2017-0?-1'7
ACITON T.�I�N:
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Status: In Progress Submitter Has Been �,
. Contacted
Date Completed: Completed by:
Hours r- I`
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�Ci1Ly��Fridley �.()�
�^ i �� iA/ater�epartrveent �����
6431 l�naversity Avenue NE
Fri�lley,MN 55432 j����
763-572-3566
��"1Ye hereby authorize tfie City of Fridtey and(or its empioyees to do what is necessary to
replace the water meter. !understand that the property owner is liable for the water line from the main to the premisQ and al1 imerior
plurnbing. (Per Sity code 402.06) 1 also hold the City af Fridley andrts employees harenless foc arry damages that may ocwr wfiile doing this
operation. '!'his to include,but not limited to vatves,piping,walis,floors or the curb stop box and service line. tn understand t am aiso requir�
to obtain a permit prior to any wortc,'rF necessary.
FBNAL METER READIRIG{oid meterj `—'��'� ` ��
Name• ___l�f�1(l� Address ���� l> � `
Phone Number_��<��� �� p� �"" ��—�,� ��
Signature Witness Signature
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OLD READlNG `��g� ���
NEW METER# "'f� V��j � /! �� .
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NEW READING�J ���r�
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FRIDLEY CITY CODE ��
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADN1lANSTRA310N
(Ref Ord P10 113,4C�,565,566, 629,638,662,922,988,I144,1156,119Ij
402.5 PERMIT FEE
� Prior to constructing ar repair of any arater a�f sewer line connecting the existing municipal system and any house or bui(ding for which the
appiicafion is made,the owner or cor�traactor shafl be required to obtain a permit for such connection,and shat(pay a permit fee as provided in
Chapter 11 af fihis Code. After such connection has been made,the Water and Sewer Department shall f�e notified. tt shatl be unlawful to cover
a�y connecting line ucrti{an inspettion has been made and such connection and the work incident thereto has been approved(ry the City as a
proper and suitabte connection.
402.06 12EPAlRS AND MAIPiTENANCE TO CONNECTION
After the initiai connection has been made fio the water senrice curb stop box or the sewer tead at the property line or a water senrice lead has
been e�ctended Co the property line for connection,the applirant,owner,ar occuparrt or user of sucfi premises shaii be liable for alt repairs
required to any water tine and sewer{ines necessary for con�ection of the premises from the main to the premises. ff the property owner
requests mairrtenance service or repairs be perfarmed by the Cty,the property owner shall be charged for the costs of the mairitenance and/or
repairs,inctuding necessary street repairs at a rate set annua(ty by an administrative policy. It shall be tF�e responsibility of the applicarrt,
owner,occupant or user to perEorm standard mairrtenance of tfie sewer service line from the premises to the main inciudtng debris dearing 4r
root cutting ar►d to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
gcade of the(and or property. (Ref 638,1156,1191)