Meter Swap � Request Number: 14501
Public works Division
Service Request
Problem Address: 6716 Chatmel Rd Requested By: Grxe Allen
Department: WA'IER Address: No a�ress provicied
Problem/Issue: INSTALL AMR METER Phoee Number. S'11-4448
Schednled Dnte: 2017-04-11 Sc�edalei 13me: 11:30:00
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ACIiON NEEDED:
Created by: Wendy Hiakt Date Cre�ted: 201'1-04-04
A ON T.�I�N:
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Stxtua: In Pro ss Sabmitter Hos Been r.
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Date Completed: Completed by:
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Hiatt, Wendy
Subject: GRACE ALLEN 763-571-4448 AMR INSTALL
Location: 6716 CHANNEL RD
Start: Tue 4/11/2017 11:30 AM
End: Tue 4/11/201712:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Vang, Mai
Required Attendees: Hiatt,Wendy
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City of Fridtey
Water Department
6431 University Avenue AlE
Fridley,MN 55432
763-572-3566
�/we hereby authorize the C'�ty of Fridiey and/or its employees to do what is necessary to
replace the water rneter. I understand that the property owner is liable for the water line from the main to the premise and all interior
piumbing. �Per City code 402.06) i also hold the City of Fridley and/its employees harm{ess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) �'� ��o
Name� �/1� ���.��� Address � ` � 10 � �
PhoneNumber ✓� V - I�� � Date �',1 ' `�
Signature Witness Sig�ature
OLD METER# ��V � �_ l � J
OLD READING �� � ��(„!
NEW METER# !1 + �'�J� ` �
NEW READING � J
ERT# � �Z� ����
FRIDLEY CI'IY CODE •.
CHAPTER 402.WATER,STORM WATER AND SANI7ARY SEWER
ADMINISTRATION
(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 connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connectio�,and shall pay a permit f�as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shatl be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Gty as a
proper and suitable connection.
402.06 REPAIRS AND MAIMTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for wnnection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the properly ewner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the c�sts of the mairrtenance andjor
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibillty aF the applicant,
owner,occupant or user to perform standard maintenance of tfie sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as arill ensure that it remains above the finished
grade of the iand or property. (Ref 638,1156,1191)