Meter Swap �
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Request Number: 16357
� Public Works Division
« � :�,: • ""�� ,.; Service Request
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Problem Address: 6616 Fridley St Requested By: Ms Linder
Department: WATER Address: No�dress provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-242-4536
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Scheduled * 2017-07-2 � heduled 1lme: 10:00:00
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ACITON NEIDED:
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''`�K' Created by: Wendy Hiatt Date Created: 2017-07-17
AC110N TAI�N: �
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Status: In Progress Sabwitter Has Been r
Contacted ��
Date Compl eted: ����� �1'� Compl eted by:
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�i���FrdeB4ey � ��l-- �� ✓�('}�v (��.
� ih/atea-�e�sartmertt
�. 5431 l�nav�rsity Arreneae NE � {�� 5� (,�9
Fr6slt�y,MN 55432
7fi3-572-3566
a,`''�� hereby authorize the City af Fridtey and/or its employees to do what is necessary to
rep(ace tfie water meter. !a�nderstand that the oroperty mwner is 6iable far the water line from the main to the premise and alt interior
plumbing. (Per�ity code�2.06) I atso hold the City of Fridley andPts employees harmless for arry da�nag�s that may�cur whiie doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curt�stop box and service line. In undersfiand l am also require
to obtain a permit prior to any Mrork,if necessary.
FIRIAL METER READIRIG(old meterj �.�a a 3��
Name• 1"�� Lr��"e� Address lV�c W '�r d�� T.
Phone lYumber�� "J— ��p�" ��� p� ��-- p2, ��- ��
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�Signature Witness Signature
OLD METER# � ! � 1 �� 1 ✓
OLD READlNG __ � ") �(� � � � ��; '
NEW METER# _� ! v ✓ ��V� �t�.
NE1N READIWG v
ERT# � a�-�� � a� � �
FRIDLEY ClTY CODE
CHAFTEIt�2,WATER,STCDRM WATER AND SANITARY SEWER
ADMINISTRATION I
(#tef Ord No 113,464,565,566, 629,638,662,922,988,i144,1156,1191j
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402.5 PERMIT FEE �
� Prior to aonstructing ar repair of any arater of sewer line connectin the existin munici al �
S g p system and any house ar buiiding for which�e
appiication is made,the awner or cor�tractor shaii be required to obtain a pesmit for such connection,and sha{t pay a perm�t fee as pravided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shal(be notified. It shall be untawful to cover
any connecting line uatil an inspection has been made and such connection and the wark incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS APtD MAIPITEAIANCE TO CORlIYECTION
After the initial connectio�has been made to the water service curt�stap twx or tf�e sewer lead at the property line or a water seroice dead has
been extended to the property line fo�connection,the applicant,owner,or occuparrt or user aE wch premises shall be iiable for all repairs
required to any water line and sewer(ines necessary for connection of the premises from the main ta the premises. tf the property owner
requests mairnenance senrice ar repairs be perFormed by the C'rty,the property owner shall be charged for the costs of the mairKenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility vf the appticar►t,
owner,occupant or user to perform standard mair►tenance of the sewer service line from the premises to the main including debris dearing or
root cutting and Lo maintain the water service curb stop hox foc operabil"�ty and at such height as wiil ensure that it remains above fihe finished
grade af the land or property. (Ref 638,1156,1191j