Meter Swap ✓
� ., Request Number: 16528
� Public Works Division
Service Request
Problem Address: 6451 Arthur St Requested By:
Department: WATER Address: No address psovided
Problem/�ssue: INSTALL AMR ME1ER Phone Number:
Scheduled Date: 2017-08-01 Schednled'ilme: 01:00:00
�/-Qt' S�- I
ACITON NEEDED:Shut off water to repair valve and install AMIt.
Crented by: Wendy Hiatt Date Created: 2017-08-01
ACTTON TAI�N: ���`��� /� �
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Complet b •
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�r����a�oey �c�7� ��9�3�t����
�at�r�e�a��,��t
` C:431 l�resversity A�rencae NE ��-� c����r�
� Fradl�y,MIV 55432 a
763-572-3566 �� ��
��`1ie hereby authorize the City of Fridtey artd/or its employees to do what is necessary to
rep(ace the water meter. !understand that the property owner is liabie for the water line from the main to the premise and all irrterior
plurnbing. (Per�ty code 402A6) 1 also hold the City of Fridley and�ts employees harmfess#or arry damages that may occur while doing this
opera#ion. This to include,but not timited to valves,piping,walis,floors or the curb stop boz and senrice line. in understand i am also require
to abtain a perm+t prior to any�ror&,ifi necessary.
FlNAL ME7ER READIRIG(oid meterj � �
Name: Address�J.�1 ,�,�
Rhone Numb r p�, �- �,�-- '
Signature Witrtess Signature �!�,
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OLD METER#�l'
OLD READING _ �� ��
NfWMETER#_ L 1,3,� �( V-1
NEVI/READING
ERT# �-�� 1' � "7 Z� 1 l ],
FRIDLEY CITY CODE
CHA�TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRA7'ION
(Itef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing ar repair of arry water of sewer iine connecting the existing munic�pai system and any house or buitding fo�which the
applicafiion is made,the owner ar contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this+Cade. After such connection has been made,the Water and Sewer Department shall be notified. It shalt be unlaarful to cove�
any connecting line until an inspectaon has been made and such connection and the wortc incident thereto has been approved by the C'rty as a
proper and suitahle connection.
40L:�K REPA(RS AiYD MAIPITENANCE TO CONNECTION
After the ioitial connection has been made to the water service cur6 stop box or the sewer tead at the property line or a water seroice Iead has
been extended to the property line for connection,the applicarit,o+nrner,or occupartt ar user of such premises shall be liable for att repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests mairrtenance service or repairs be performed by the�ty,the property owner shall be charged for the�of the maicttenancQ and/vr
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be tf�e responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includiog debris clearing or
root cutting and xo maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,11919
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