Meter Swap ` Request Number: 13417
Public Works Division
��(�� Service Request
Problem Address: '60�8�Central A� Requeste�By: Emily
Departm�nt: WA'IER Addres�: No ad�ess provided
Problemllssue: INSTALL AMR METER Phone Nnmber: 612-618-8409
Scheduled Date: 201�-02- Scheduled'Ifine:
—� �
AG7ZON NEEDED:
Created by: Beth Komh ick Datt Created: 2017-02-10 y
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ACTTON TAI�N:
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Status: In Progess Sabmltter Hus Been �., °
Coutacted
Dste Completed: �.,., �`� �� Completed by: 1 �
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Fridtey, MN 55432 � � � � �
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'��A°� hereby authorize the�iy�f Fridley andjor its ernployees to da what is�ecessary ko
rep4ece the water meter. 1 understand tha#�he propea�ty owner 6s liable for the water line!Feom the main to the premise and all interior
�S{urrabing. (Per Gty cosie 402.06) i also�hold the�ty of Fridley and/Sts employees harmless#or any damages that may occur while doing tl�is
operation. This to 9nclude,bufi not Iimrted to vaives,piping,wa41s,floors or the curb sCop box and service line. in understand 9 am also requie
to obtain a permit prior to any worlc,if necessary.
FiNAL METER READfNG�old meterj c/� 3'�
Name• �1N� �� Address �✓�4 � �✓�C�,-�V� v� J
Phone Number ���.,�' �x`� ' � 4a 1 Date � �� r ��,
Signature Wiiness Signature —_
t�LD 11i�ETER#'_./���O `Q�--
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OLD READ[NC �� �C� � l`"
qQ g � � �
NEW METER# _ �� / � �$ �
NEW READ161iG �
ERT# � � � � �v I � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,Si'ORM WATER AAID SANITARY SEWER �
ADMINISTRATIORi . _
(Ref Ord MO 213,464,565,565,529,638,662,922,9$8,1144,I156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer t�ne connecting the existing munic.ipai system and arry hssuse or buiidirig for which the
appiication is made,the owner or cornracto�shall be required tu ohtain a permit far such connection,and shaii pay a permit fee as provided im
Chapter 11 of this Code. After such co�nection has�en rnade,the Water and 5ewer Departmerrt shall be notified. tt shail be un[awfui to cove
any connecCing line untsl an inspection has 6een made and such connecCion and the wo�c inciderrt thereto has beea appsrnred by t�e Crty as a
proper and suitabte connection.
402.06 REPAiRS ARID MAfNTEtYQMCE TO CON'NEC'Tfflrii
After the initie!connection has been made to the water senrice curb stop box or the sewer fead at fihe property line or a water service kad 6as
been extended#o the property line for connection,the applicarrt,owner,or accupar�t or user of such premises sha(i be Ifable for�ii repatrs
required to any water line and sewer lines necessary for sonnection of the premises from the main to the prerrtises. If the property ormer
reqaests mairrtenance service or repairs be perFormed by the�ty,the property oweer shall be charged far#ie casts af the mainterrance and/or
repairs,inciuding necessary street repairs at a rate set ans�ua{ly!sy an administrative poliry, ft shali be the responstbilifiy of the apgiicarrk,
owner,accuparrt or user to perform standard maimenance ofi the sewer service line from the premises to the main indudfng debris dearing or
root cutting and to mairrtain the wa�ter ser�ice curb stop box for operability and at such height as wi41 ensure that it remaira ahove the fin'ished
grade of#he land or property. (Ref 638,1156,1191�