Meter Swap �
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Request Number: 14322
Public Works Division
Service Request
Problem Address: 1630 66 1/2 Ave Requested By: Ms Ikier
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Numi�r: 571-4785
Schedule te: 2017-04-45 Scheduled 1lme: 09:00:00
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' ACIION NEEDED:
' Created by: We�y Hiatt Date Created: 2017-03-27
ACIION TAi�N:
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5tatus: In Progress Sabmitter H�s Been (.., ,
Contacted
DateCompleted: LI.. �L. J� Compietedby:
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City of Fridley � /n�.�j L,� ��'
Water Department ��
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what ls necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the prem�e and all interbr
plumbir�g. (Per City code 402.06) 1 also hold the City of Frldley and/its employees harmless for any damages that may o�r while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. In understar�d 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� ` I D��
; Name• Y`�1�� ����� v- Address \��� l!��Y t�Z— -f�''�'�
Phone Numbar �� I � f r � Date �— �~ ��
Signature Witness Signatare
OLD METER# `'��"� � / v
OtD READING '��11 a�a
NEW METER# � I �� � � � �
NEW READING O
ERT# ` ��� J � V v
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
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(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE :�
Prior to constructing or repair of any water of sewer line connerting the existir�municipal system and a►ry house or building for whkh the
application is made,the owner or coMractor shall be required to obtain a permit for such connection,and shall pay a permR fee�provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to co�r
any connecting line until an inspection hes been made and wch connection and the work inddent thereto has bern approved by the City as a
proper and witable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property Ilne or a water sendce lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be Itabk 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 property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenana and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responslbility of the applicant,
owner,occupant or user to perform standard maiirtenance of the sewer servFce line from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that tt remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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Ci�y c�f Fridley
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