Meter Swap � Request Number: 13113
• Public Works Division
Service Request
Problem Addresa: 1317 53rd A�c Requested By: Gerald Welf
Deputment: WATFR Addresa: No ac�reas provided
Problem/Isaue: INSTALL AMR METER Phone Nwaber: 571-4792
Sc�eduled Dat : 2017-02-03 � 5c�edaled 1lme: 08:00:00 �G
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ACITON NEEDED:
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Created by: Wendy Hiatt Date Cre�ed: 2017-01-26 ��j��
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ACIION TAI�N: ;- .<�
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Status: In Progcess Sabmitter Has Beeu �, ``�
Co�acted
Date Completed: Completed by:
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5431 i9niv�a-sity Aver�aae NE C` �� .� jc j��
FridlQy, M6V 55432 � /�
TS3-S32-356� �� L� _ i �1 � � �x� -- � � ,/
,f'"°� hereby authorize the�'�ty af F�idley and/or�"rts emp(oyees to do what ds necessary to
� replace#he water meter. 1 understand that the q�roperty flwner u liabie fo�the water line�eom the main to the premise and arl irnerior
�lumbing. (Per City sode 402.QS� 8 adso Ftofd the�'rty�f Fridley artd/'rts employees harmless for eny damages ttlat may vccur while doing this
operation. This to include,but not IimRed io valves,p;ping,walls,flooe�s or the curb stop box and service lir�e. On understand i am also requir
to obtain a permit prior to arry wa�c,if necessary.
FINAL METER READfNG(old meter) �� ���
Name:��� � �� Address
Phone Number � �� ��, V�^ Date �� � l
Signature \ YVi#ness Signature �
o�o�wEr�R# l�a� �3��
OLD READ[NG c7�Z - t 8V
NEW METER# ���D���, I
NEW READING _b
E�# � ����5 41 �
FRIDCEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMIN ISTRATION
{Ref Ord B1to 113,464,565,566,629,638,662,922,988,I144,1156,i191j
402.5 PERMIT FEE
Prior ta constructirig ar repair of ar�y water aF sewer line connecting the existing municipal system and airy fiause or twilding for�vhich the
application is made,the owr�er or co+�tractor shail be required to obtain a permFt for sucfi connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shalt be notified. ft shalt be un(awfut to cove
arry connecting line until an inspection has been made and such connection and the wo�ic inciderrt thereto has been approved by the C'rty as a
proper and suitable connection.
4Q2.Q6 REPAtRS AiOfD l�tA1MMt'EENANCE T�CONIYEC'ROII(
A�fter the initiat connection has been made to the water service curb stop i�x or the se�ver lead at the property line or a waier sen�e(ead has
been extended#o the property line for connection,the appiicarrt,owner,or accupant or user oF such premises shat!be lia�e for�11 repairs
requ�red to any water fine and sewer(ines necessary for connection of the premises from�e main to the premises. If the property owner
requests maintenance senrice or repairs be perFormed by the C"rty,the property owner shall be charged for the costs af tl�mairrtenar�and/or
repairs,including�ecessary street repairs at a rate set annuaily by an administrat�ve policy. It shati be the responsibility of the applicarit,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris dearing or
roofi cutting and to mairrtain#6e water service curb sfiop box for operabitity and at such heigPrt as w�f ensure that it remair�s above the ftnished
grade af the land or property. �Ref 638,1156,1191)