Meter Swap � � Request Number: 13371
Public works Division
Service Request
Problem Address: 1291 Gardena Are Requested By: Spexbcer Minear
Depsrtment: WA1ER Addres:: No address provided
Problem/Isaue: INSTALL AMR METER Phone Number: 763-571-5962
Schednled Date: 2017-02-14 Sc6edHled Tlme: 10:30:00
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ACIION NEEDED:
Crexted by: Beth Kondrick Date Created: 2017-02-08
ACIION TAi�N:
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Status: In Progress Snbautter Has Beea �
Contacted
Date Completed:�,.._ ' L�,_ I� Completed by:���
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..ww..v y,i��qe x.IHB�G1/tl.
6431 Ua�dversii�/J�ve�a�e N� �Q � I ��
Frid9ey,11t�P1 554�2
� , , 753-572-3565 �1 �_y-75 i 3 � -� I
J��� hereby authorize the Ciiy�f Fridley and/or its empioyees to slo what is necessary to
replace the water meter. 1 understand that the propee�ty owner is diable for the wrafier line from the main to the premise and a{I irnerior
plurrcbing. (Per Ciry socle 402.06) i also�told the City af Fridley and/'rts employees harmtess#or any damages that may occur�hile doing tf�is
operation. This�o�nclude,but not limited to xalves,piping,wafls,floors or the curb stop box and service line. in understand!am also requir
to obtain a permit Rrior Co,any wor4c,�f necessary.
FiNAL tUIETER READMiG�old meter) �`v �`t�V
lliame: JP��'"" r` �, �c CJI�_Address �� " 1 G�" ` �it._ �
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Phone Wumber /�?j' y �� � '�s i l+Q 2 Dafie_ � "` � (, — � I
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SignaCure Witness Signature
o�o ME,-�R� ��5a i ��
OLD READING ����G�
I�EW METER# _���� Q
MEW READIIVG �
�RT#_ � �� � � 3 � j �
FRDDLEY CiTY CfJDE
CEiAPTER 402.WATER,SfORM WATER AND SANITARY SEWER
ADM1NlSTRATION
(Ref Ord No 113,464,565,565,529,63$,662,922,9$8,i144,1156,i191)
402.5 RERMtT FEE
Pr�or to constructing or repair of any water aF sewer line connecting the existing municipat system and am�hause o�buildisig for whid�the
appiicafiion is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided irr
Chapter 11 of this Code. After such conr�ection has i�een made,fihe Water and Sewer Department shall be notified. It shall be un(awful to cove
any connecting Gne urrtil an irispection has been made and such connection and#he work inaderrt thereto has been approved by the City as a
proper and sui#able connection.
4.Q2.06 REPAlRS AMD MAINTEfyqNCE TO COAtfYEC170N
After the initia!connection has been made to the water service curb stop box or the sewer lead at fihe property iine or a wat+er servfce lead has
been extended#o fihe property line for co�nection,the applicarn,owner,or occuparrt or user o#such premises shali be iiabie for all repairs
required to any wa#er line and sewer lines necessary#or,connection of the premises from the main to the�remises. if the property owner
requests malrrtenance service or repairs be performed by the City,the property owner shall be charged for the sosts of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annuai(y!�an administrative policy, it sha0 be the responsbil'rty o�f the applicarit,
owner,occupant or user to perform standard mairitenance of the sewer service line fram the premises ta the main inctuding debris dearing or
root cufiting and to mainrtain#he water service c.urb stop box for operability and at such height as will ensure that it remains above the finished
grade of the taad or property. �Ref 638,1156,1191}
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