Meter Swap a
° Request Number: 15630
Public Works Division
Service Request
Problem Address: 5370 7th St Requested By: Ast►!ey
Departmeat: WA1ER Address: No adchess provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-747-3370
Scheduled Date: 2017-06-02 Scheduled 11me: 10:00:00
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ACIION 1V�EDED:
Cxested by: Beth I�ondrick Date Cre�e+d: 2U 17-US-30
ACIiON TAKEN:
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St�tus: In ProgrEss Sabmitter Has Beea r,
Coutacted
Date Co�ettd: � .. �.�l � Campleted by:
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wa���oe����,e�,�
�` 6431 S9niversity Avenue NE
+ Fridley,MN 55432 � � �?i�
753-572-3566
�I"�e herehX authorize the City of Fridley and/or its empbyees to do what is necessary to
replace the water meter. I understand that the pro�oerty owner is liable for the water lirte from the main to#he premise artd alf interior
piurnbing. {per�ity code$02.06) f alsa hold tt�e City of Fridley and/'�ts emptoyees harmless for any damages that+nay occur white doing this
operation. This to indude,but not timited to valves,piping,watis,floors or the curb stop box and service line. tn understand l am also requirE
to obtain a permit prior to any warlc,if necessary.
RNAL METER READiMG(old meterj ��� ��O
Plame: �'"`�1 Address_ � /D �� �•
PhoneNum r VG�'�� t` �'�` �JJ�v Date `-� � � � � �
� y�
Si nature Witness Signature
O�.D METER# _ � �� / -CQ�—
OLD READING `" �'� ��
NEW METER# + 'v�� I V�
R1EW READING V
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FRIDtEY CITY CODE
CHAPTER�02.WATER,STORM WATER AND SARATARY SEWER
�4DMINIS't'RATION �
(lief Ord Plo 113,4�4,565,566,629,638,662,92Z,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair o#anq water of sewer line conrtecting the existirtg municipa(system and arry house ar buNdir�g for which the
application is made,the owner or corrtractor shali be required to obtain a permit for such connection,a�d shati pay a permit fee as provided in
Chapter 1Y of this Code. After such connection has been made,the Water and Sewer Departmerrt shati be natified. It shatf be untawful to cover
any connecting fine urrtil art inspection has been made aod sucb connection and the work incident fihereto has Ixen approved iry ihe City as a
proper and suitable connection.
4Q2.06 REPAIRS ARID MAINTEfYANCE TO COMNEC'i'ION
After the i�itiat connection has been made#o the water senrice curb stop box or the sewer fead at the property line or a water service lead has
been�xtended to the property Ifne for connection,the applicar�t,owner,or occupant or user of such premises shail be liable for aQ repairs
required to any water line and sewer lines necessary for connection of the premises from the mairt to the premises. !f the pmperty owner
reqaests maintenance service or repairs be performed 6y the City,the property owrter shall be ch�rged for the costs af the mairttenartce and/or
repairs,includFrtg necessary stree#repairs a#a rate set artnually by an administrative poticy. It shaH be�e responsi6iftty of the applicarrt,
owner,occupant or user fio perform standard mairrtenance of the sewer service fine from the premises to the main inclucting debrts dearing o�
root cutting and�o maintain the water service curb stop box for operability and at such height as wi(t ensure that it remains above the finished
grade af the fand or property. (Ref 638,1156,1191�