Meter Swap �
Request Number: 13512
Public works Division
Service Request
Probiem Address: 1050 Garden�a Ave Requested By: Jo�McL�ghlin
Department: WATER Addresa: No adc�ess provided
Problem/Isaue: INSTALL AMR METEK Phone Ntunber: 571-31fi5
Scheduled te: 2017-02-24 � Sehednled 11t�e: 09:00:00
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ACIION NEEDED:
Created by: We�y Hiatt D�e Cre�ed. 2017-02-16
ACIION TAI�N•
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;c� � Snbmitter Has�sen
Stat�: In Progress C
:�:�k Contacted
Dxte Compteted: Completed by:
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5431 i9niv�a�sity Aaeneae 9�I�
Fridteyg MfU 55432 � ��` �
, 753-572-3565 �
� 1/we
herehy authorize the�i�l:y af Pridley and/or its empioyees to do what is necessary to
replace the water meter. �understand that the property owner u liable for the water line from the main to the premise and all irnerior
plumbing. (Per CFty�Ie 402.06j 1 adsu hold the City�af�ridley and/'rts employees harmless for eny damages t(�eat may occur while doing this
operatian. This to snclude,but not limi#ed io vaives,piping,wails,floors or the curb stop boz anci service lir�e. In understand 1 am also requir
to obtain a permit prior to any avorlc,�f necessary.
� �� - �f � S 7 � 0 ` � �
FINAL METER READING(old meter) ��O� � ��
Name: V �(/ Address C��'
Phone Number � 1 l� ���!/ ap� " �^
Signature YYiiness Signature
OLD METER# ��� Z� 1� �
OLD READtNG � ��� � �
NElll/METER# �� r�� ! CJ 1
NEW READIPIG
ERT# � Y� � l�J � '
FRIDLEY C1TY CODE
CHAPTER 402.WATER,STQRM WATER AND SANITAtiY SEWER
ADMIfU15TRAT10N
(Ref Ord No 113,464,565,566,624,638,662,922,988,I144,I156,1191}
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapai system and arry house or buiidFng for whk.h the
epplication is made,the owner or corrtr-actor shal!be required to obtain a permit for such con�ection,and shali pay a permit fee as provided m•
Chapter 11 of this Code. After such connecCion has been made,the Water and Sewer Departmerrt shall be notiEied. It shatl be unlawfvl to cove
any connecting line urrtil an inspection has been made and such connection and the work inaderrt thereto has been appraved by the City as a
proper and suitable connection.
402.06 REPAIRS AND lIAAIPITENANCE T�COIMNECTIOM
After the initiat connection has been made fio the water seruice curb stop box or the sewer lead at the property line or a water senrice►ead has
been extended to the property line for connection,the appiicarrt,owner,or accwpaM or user o#such premises sf�ali be iiabie for a11 repa[rs
required fio any water line and sewer lines necessary#or conrtection of the premises from the main to the premises. ff d�e properry owner
requests maimenance senrice or repairs be pe�Formed by the C'rty,the property owner shall be charged for the costs of Lhe mairKenance and/or
repairs,including�ecessary street repairs at a rate set annuaily by an administrative policy, it shall be the responsiBiiity of the applicarrt,
owner,occuparrt or user to perform standard mair�tenance of the sewer service line from the premises to ifie main induding debris dearing or
root cutting and to maintain#he water service curb stop box for operability and at such height as will ensure thart it remains a6ove the flfnished
grade of#he land or property. �Ref 638,1156,1191)