Meter Swap �
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Request Number: 16109
Public works Division
Service Request
Problem Address: 5965 Sth St Requested By: Andrew Ferris
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-370-5059
Schednled D 017-06-29 Schedule m�: 07:00:00
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ACITON NEEDED:
Crested by: Wendy Hiatt Date Created: 2017-06-22
ACTION.TAI�N: r
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Snbmitter Haa Been I�
Status; In Progress Contacted r
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Date Completed: � ,,., �� _ � � Completed by: � ��� I'I
Hours
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Water Department 2�(.--- �{ �;Cl ' �>�) ��
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� �ridley,MN 55432 ��-F+�� i.��� �
T53-572-3566
I/we her�by authorize the C'ity af Prrdley andJor its empioyees to slo what is necessary to
replace the water meter. 1 understand that the property owner is tiable fior the water line from the main to the premise and ail interior
plumbing. (P�er Ctty code 402.06j 1 also hold the City of Fridley and/its employees harmtess for any damages that may occur while doing this
operation. This to include,bufi not limited to vatves,piping,walis,floors or the curb stop box and service line. In understand I am also requirec
to obtain a permit prior to any work,if aecessary.
FNYAL METER READING(old meter) � J V r/��
Name: n� � � / � � � '��'� •
r ` ���.(•l/ �✓�r(� Add�ess
Phone Number [lo� � ��Q ' �V�� p� u(/" � � ��
�ignature /.dC'�/ /�� Witness 5igr►at�sre �
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OLD METfR# � ! D �� 1 �] '
OLD REAOtNG ��� � ��
� NEW METER# `� �35 �c�aa
NEW READING �
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FRIDLEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIOAI
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,i156,1191)
402.5 AERMIT FEE ' T:�
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Prior to constructing or repair of any water of sewer line conneding the existing municipal system and arry house or building for which the
appltcation is made,the owner or corrtractor shatl be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has be¢n rr�ade,the Water and Sewer Department shatt be notified. It shall be uniawrful to corer
any connecting line until an inspection has been made and sucfi connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNELTION
After the initial coanection has been matle ta tfie water service curb stop box or the sewer lead at the property tine or a water senrice lead has
been e�ctended to the property line for connection,tfie appiicarit,owner,or accupar�t or user af such premises shali be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the p�operty owner
requests maintenaace service or repairs be performed by the City,the property owner sha0 be charged for the costs of the maicrtenance andJor
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicatrt,
owner,occuparrt ar user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting artd to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land vr property. (Ref 638,1156,1191)