Meter Swap � Request Number: 16388
,
Public works Division
Service Request
Problem Address: 6830 Channel Rd Requested By: Atr�anda
Department: WATER Address: No address�ovic3ed
Problem/Issue: INSTAL,L AMR METER Phone Namber: 612-SO1-4221
Scheduled Date: 20 7-0 -19 .,.� Schednled'IYme: 01:30:00
�i � `.3
ACTTON NEEDED:
Created by: Wendy Hiatt Dqte Created: 2017-01-18
`�__ ACTION TAI�N: �
_ ___.�_ �_:�:�.�w���ed ��- _
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Status: In Progress Snbmitter Has Been r
CoMacted
Date Compieted: � � � � � Completed by: ����
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�o�' ��? c�� c��-
�e���F�aoey �
wate�-De�a�rv�erot � � ���iIS
# 6431 llr�oversity Avenue NE
� Fridley,MN 5543Z
763-572-3556
i/we hereby acrthorize the Gty of Fridley and/or its employees to slo what is necessary to
replace t6e water meter. 1 understand that the property owner is liable tar the water line from the main to the premise and all irtterio�
pfumbing. (Per City code 402.06) !also hold the�ty af Fridley andj'sts emptoyees harmless for aay damages that may occur whiie doing this
operation. This to 3nclude,but not limited to va(ves,piping,wralis,#Ioors or the curb stop box and service tine. In understand t am atso requir�
to abtain a�aermit p�ao�to any wor(c,if necessary.
FlNAi.METER READIAiG{oid meterj �� �� `r � �
Alame•��r lG�w�/�. Address w �i J V ���(�r lA W l �•
Pho�e Num Z �l " `�v� Date ` `� v Y``�� I
r
j�[Signature Witness Signature
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Ol.D METER# � 1� ��� v�
OLD REaD�NG o� 1 � � SOd -- Sno wl�1�l �f��i � P.S�'.
NEW MEfER# � 1 ✓� � I S�
NEW READING �
ERT# /� Y� 6 ���p
FR[DLEY CITY CODE
CFiAPTER�t02.WATER,STCIRM VIlATER AND SANtTARY SEWER
ADMtNlSTRAT{ON
(�tef Ord Mo 113,464,565,566,629,538,fi62,922,988,1144,1156,1191)
402.5 PERMIT FEE
�, Prior to�onstructing or repair of arry water aF sewer 4ine connecting the existing municipal system and any house or buitding for which the
applica#ian is made,the owner or contractor shall be required to abtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewec DepaRmerrt shali be natified. it shaN be un(awful to cover
arry connecting itne until an inspection has been made and such connedion and the work inciderrt thereto tsas been approved by tfie Gty as a
proper and suitable connectian.
402.06 REPAIRS AP(D MAIAITENANCE TO CONNECT{ON
After the initiaf connection has been made to the water service curb stap bqx or the sewer lead at the property Iine or a water senrice iead ha,
been extended to the property line for eonnection,the applicant,owner,or accuparrt oc user of such premises shalf be iiable for all repairs
required to any water line and server lines necessary#or connection of the premises from the main tv the premises. if the property owner
requests mairrtenance service ar repairs be perFormed!ry the C'sty,the property rnaner shall be charged for the costs of the mair�tenance andJar
repairs,inciuding necessary stre�t repairs at a rate set annually by an admirtistratsve poliry. !t shall be tfie responsibility of the applicant,
owner,occupant or user to perform standars!ss�airrtenance of the sewer service line from the premises tv the mafi including debris dearing or
root cutting end to mairnain the water service curb sCop 6ox for operability and at such height as wiii ensure that it remair►s above tt�e�nished
grade of the land or property. {Ref 63g,1156,1191j