Meter Swap ►
� Request Number: 13369
� Public Works Division
Service Request
Problem Addreas: 1100 Gardena A�e Requested By: Janet
Departmeat: WATER Addreas: 1100 G�ckna Ave
Fridley,MN 55432
Problem/Issue: INSTALL AMR ME1ER Phone Number. 612-419-0105
Sc6eduled Da�te: 2017-OZ-15 Schedaled 1lme: 10:30:00
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ACTION NEEDED:
Cr�ated by: Beth Kondrick Unte Created: 2017-02-08
A�."IION TAI�N:
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Status: In Progress e��otncted �
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Date Completed: �,— 15-- �� �-� Completed by: ��(��o �
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her�hy autharize#he C'riy�f Fridley andJor its employees to slo what ds necessary to
�,' replace#he water meter. I vnderstand that the propea�ty owner is liable for#he water line from 4he main to the premise and all imerior
piusrebing• (Prr CFty�oa1e 402.06) 1 also hold the C'aty ot Fridley and/'rts empioyees harmless#or any damages that may occur while doing th�s
operation. This to 9ncfude,bufi no#limi#ed�o valves,p�ping,walis,�loors or the curb stop I�ox and service line. In understand 1 am also requir
to ab#ain a permit prior to arry�ror�c,if necessary.
FMiAL METER E2EADNNG(old meterj 1. � [ ��O
lllame: �C7►�I(�'Q � Address � ! �� ��G�✓'[��i�- �.
Phone Number�1L Y2� �l ("`� �,V", p� �." �j`-'`�
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Signature Witness Signature
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OLD READIIVG_� � / q�SV
NEWMETER#_�CJ�� � ��a
NEW READIAIG �
ERT#_ 1 I (J I \p - ) ��,
FR4Di.EY CIT�f CODE �
CHAPTEtt 402.WATER,S70RNF WATER AND SA�PttITARY SEWER
ADMfNISTRATt01�!
(R�f Ord No 113,464,565,�66,629,638,662,922,988,1144,i156,i191)
aozs QE�rn���E�
Prior to constructing or repair of any water of sewer line connecting the ex�sting municipal system and arry house or buiiding for which the
applicafiian is made,the owner or wrrtractor sha(!be required to obtain a permit for such connection,and shall pay a permit fee as pruvided irr
Chapter 11 of this Code. After sucfi connection has been made,the 4Vater and Sewer Departmerrt shall be notfied. tt shall be untawfui m cove
any connecking line until an irrspection has been made and such connection and the wa�6c inciderrt thereto has beer►appro�d by the C�j as a
proper and suitable connection.
402.06 REPA1iRS AND 91AAtW1'Ef1(ql1(CE Ta CONNECTIQN
After the initial connectiert has been made to#he water service curb stop boK or the sewer lead at the property line or a water sen►i�lead(�as
been extended#o the property line for connection,tfie appiicarrt,owner,or occupartt or user af such premises shali be Itabie for aii repairs
required to any water line and sewer lines�ecessary#or connection of the premises from the main to the premises. if the property owner
requests maintenance seroice or repairs be perFormed by the C'rty,the property owner shall be charged for the costs of the maintenan�:e and/flr
repairs,including necessary street repairs at a rate set annually by an admi�istrative poliry, ft shali be the responsibility of the appGcarrt,
owner,occupant or user to perform standard maintenance of the sewer service tine from the premises to the main s�cluding debris dearing or
root cutting and to mairrtain the water service curb stop box for operabil'rly and at such height as wili ensure that�t remains above the finished
grade of the land or property. {Ref 638,1156,1191J