Meter Swap �
� Request Number: 13494
�
Fablic Works Division
Service Request
Problem Address: 1623 Gardena A� Requested By: Primitibo
Department: WATER Addreaa; No addresa provided
Problem/Isaue: INSTALL AMR METER Phoae Number: 952-210-7174
Scheduled Date: 2017-02-27 Sc6eduled 11�: 02:00:00
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ACIION NEEDED:
Created by; Wendy Hiatt Date Cre�ed: 2017-02-1 S
AC110N T �
A� �
1 �n,� ,��1 �
Stxtus: In Progress Sabmitter Ha�Been r
CoM+icted
Date Comptcted: Completed by:
Hoars i�' �`
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5�i31 lDniv�rsity Ave�a�e N�
Fradleyg M�1i 55432
753-572-3566 � � �_l��] � � � o _O�
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k- 1/we here6y authorize the City at Fridley andJor its empioyees to s10 what is necessary to
! replace the water meter. �understand that�hp property oWner is riabte for the avater line from the main to the premise and a!1 interior
� pturrabing. (Per City code 4Q2.06) 1 alsa hold tfie�'rty�f Fridley andJFts employees harmless#or eny damages that may occur while doing this
operation. This to include,but eot Iimited to valves,piping,walls,floors or the curb stop box and service line. On understand 1 am also res�uir
to obtain a permifi prior to arry�rork,�f necessary. ,
r�� �o �' C���
FM{AL METER READIAiG(ok[meter) \./ ��� ��Q �
f�lame: �'t�M�}�, - � Address �l� (/� �����, �v`,�
Phone Fiumber Y�� ��v��1�� pate ✓r� V ��
Signature �� WiQ�ess Signature
OtD METER# �� I l`�'����
OLD READtfliG_ v �� O 3 �lJ
NEW METER# ���� 1 S��
NEW READIAIG �
ERT# � � � �� �O�U?� .
FRlDLEY CITI CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIf111STRATION
tRef Ord No 113,4�G4,565,566,629,638,662,922,988,1144,T156,i191j
402.5 PERMtT FEE
Prior to constructin;g or repair of any water af sewer line connecting the exisfing muniapat sys#em and any house or buttding for w(�ich the
appfication is made,the owner or corrtractor shalt be required to obtain a permit for such connection,and shalF pay a permit fee as provided in�
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Departmerrt shali be notined. Pt shall be untawful to cove
any connecting line until an inspecfiion has 6een made and such connection and the wor�inaderrt thereto has Iseen approved by the City as a
proper and suitable connection.
402.06 REPAiRS AND MAINTENANCE TO CQNNECTtOH
After the init�at connection has been made to the water service curb stop box or the seurer lead at fihe property Itne or a water senrice lead has
been eutended to tltie property line for connection,the appiiprrt,owner,or accupant or user of such premises shali be liabie far ail repairs
required to any water line and sewer lines necessary for connection of#he premises from#he main to the premises. ff the property owner
�equests mairrtenance service or repairs be perFormed by the City,the property owner sha8 be charged for the c�ts of the mairrtenance and(or
repairs,induding necessary meet repairs at a rate set annuaily by an administrakive policy. It shaff be the responsbility of ffie appiicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the prem+ses to the main anduding debris dearing or
root cutting and to maintain the water service curb sfiop box for uperability and at such heigFrt as wili ensure that'st remaias ahove the finisfied
grade of#he land or property. (Ref 638,1156,1191)