Meter Swap , Request Number: 16250
Public Works Division
Service Request
Problem Address: 1340 Creek Park Ln Requested By: Anthorry Rosenberg
Department: WA1ER Address: No address provided �� .�-�
Problem/Issue: INSTALL AMR METER Phone Number: 612-308-7461 '"`
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Sc6eduled Date: 2017-0?-10 Scheduled Time: 09:00:00
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AGTION NEEDED:Turn off water so val�can be changed Install AMR.
Created by: Wendy Hiatt Date Created: 2017-07-06
ACIYON TAI�N:
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Status: In Progress s Snbmitter Has Been r
Contacted
Date Completed: Completed by:
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City of Fridley �G� � L/�3�.�j.0,�
� Water Departrnent
6431 UniversityAvenue NE C� 11 �/�,� '
Fridley,MN 55432 J "�f ��
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the properly owner is liabie for the water line from the main to the premise and all interior
plumbing. (Per C'rty code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves.piping,walis,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work.if necessary.
FINAL ME7'ER READING(old meterl ��� � ��
Piame: Address ���V l�l�C�R�r J„� �
Phone Number pa{� �`�v i' �
Signature�,A� _1{�s..�-�^'�. Witness Signature
OLD METER# � `� � ��
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OLD READING � .cJ� L V�
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NEW METER# � L �� �1� !�
NEW READfNG �
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FR{DLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
4a2.5 PERM{T FEE
Prior to constructing or repair of any water of sewer line connecCing the existing municipa!system and any house or iwifding fo�which the
application is made,the owner or contractor shall be required to obtain a permit for such w�nection,and shall pay a permiC fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shait be notfied. It shall be unlawful to cover
a�y connecting lir►e unti{an inspection has been made and such connecCion and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO COAINECTIOM
After the initiai connection has been made to the water service curb stop box or the sewer lead at the¢roperty Itne or a water senrice lead has
been extended to the property line for connection,the apgiipnt,ow�er,or occupant or user of wch premises shaif be I'wbie for all repairs
required to any water line and sewer lines necessary for conoection of the premises from the main to the premises. (f the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to tfie main inciuding debris ciearing or
roat cutting and to maintain the water service curb stop 6ox for operability and at such height as will ensure ihat it remains above the finished
grade of the land or property. (Ref 638,1156,1191)