Meter Swap �
Request Number: 16367
�
Public Works Division
Service Request
Problem Address: 6609 Channel Rd Requested By: Randi
Deputment: WA1ER Address: No address�xovided
Problem/Issue: IN5TALL AMR METER Phone Namber: 763-516-4062
ScheduledDate: 201?-¢$-09 �,� Schedaled'Rme: 07:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Cr�ated: 201?-0?-17
ACTION TAKEN:
G�,,�� 1 �� �.
Status: In Progcess Snbmitter Has Been �
Contacted
Date Completed: (,r,Z ,_ ��)�j Completed by: a�
Hoars �� I �
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�0�������ey � �( ��� 1 � ��
Water�epartroa�rrt ������
, �431 lJraio�ersity Avenue NE
� Fridley,MN 55432
763-572-3565
f/we hereby authorize the City af F�idtey and/or its employees Co do what is necessary to
rep(ace the water meter. t understand that the property owner is liable for ttoe water line from the main to the premiss and al!irrterior
plumbing. {Pec Zity code 402.06) 1 alsa hold the�ty of Ferodley and�ts employees harml�ss for arry damages that may oavr while doing this
operation. This to include,but not limited to valves,pipiag,wa{Is,floors or the wrb stop box and service line. In understand l am atso require
to obtain a pecmit prior to any wor[c,if netessary.
FIMAL METER READIN6(o(d meterJ _ � 1�� `�' v"
Name• "`�'� Address ���� �t Yr�YIY�.I°.I �
Phone Number � ✓I`� '�V��p� _ �— � '—" I 4
�jgnature Witness�gnature "'�—
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OLD METER# �- ( J� ' L `�
o�.D ��aDaN� � 4 Q� �o��
NEL�I METER# � 1 J� ✓ �C�D
NE1�V READING O
ERT# � d' 1 � ��� �
FRfDLEY C1TY CODE
CHAPTER�Q2.WATER,STORM WATER AAID SANITARY SEWER
ADMtNISTRATION
(Itef Ord No 113,464,565,566,624,638,662,922,988,1144,1156,119Ij
402.5 PERMIT FEE
� Prior to canstructing ar repair of arry water of sewer{+ne connecting the axisting municipal system and eny house or buiiding for which the
appiication is made,the awner or coritractor shaii be required to obtain a permit for such connecCton,and shati pay a permit fee as provided in
Chapter 11 of this Code. After such connection has i�een made,the Water and Sewer Departmerrt shali be notifled. fC shail be uniawful to�vec
any connecting line u�til an inspection has been made and such connection and Che wor[c incident thereto has been approved by the City as a
proper and suitable connection.
402.Q6 REPAIRS APiD N1AfN'PEIVANCE TO CONNEC770N
After the initial connectiort has been rnade to the water service cur(�stop(oox flr the sewer lead at the property line or a water senrice dead has
been exCended ta Che property!'sne for connection,the applicant,owner,or occupartt ar user of�ch premis¢s shaN I�iiable for alt repairs
required to any water line and sewer tines necessary#or connectiort of the premises from the main to the premises. (f the property owner
requests mairrtenance service or repairs be performed by the City,fihe property rnaner shall be charged fo�the costs of the maintenanr,e andJar
repairs,including necessary street repairs at a rate set annually by a�administrative poliry. !t shatl be tf�e responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises tv the main inctuding debetis clearing or
root cutting and+to maismain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j