Meter Swap ^.
� Request Number: 16418
Public works Division
Service Request
Problem Aaddress: 1104 Haclanann Circle Requested By: Kirstin
Department: WA1ER Address: No addcess provided
Problemllssue: INSTALL AMR METER Fhone Number: 763-502-7944
Scheduled Date: 2017-09-25 Schednled T[me: 09:00:00
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ACTTON NEEDED:
Created hy: Wendy Hiatt Date Created: 2017-07-21
ACTI N TAI� :
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Status: In Pro�ess Subtnitter Has Been r
Contacted
Date Completed: Completed by:
Hoars � �� �
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' � Ci#y�f Fridley
��1� �� ��� Q�� �`�
r Water Department �� � ���p
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6431 University Avenue NE
Fridley,MN 5543Z
763-572-3566
��`Ne hereby authorize the City of Fridley andjor its employees to do what is necessary to
repface the water meter. !understand that the property owner is liabie for the water line from the main to the premise and afl irrterior
piumbing. (Per City code 402.06j {also hold the City of Fridley and/+ts employees harmiess for arry damages that may ocsur whife doing this
operation. This to include,but not limited to vatves,piping,walls,floors or the curb stop box and service line. !n understaar�d i am also required
to obtain a permit priar to any work,if necessary.
FlNAL METER R 1 �� � ��
EAD P[G(atd meter}_ (�J
Name: ��c�.�� Address_�� � 1 Y���a►{�1 l/(�
Phone Nu l � �� Date �� ��) — 1� 1
,
�Signature � Witrtess Signature
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OLD METER# �� �� b�Z,,�
OLD READtNG � ��`� g �-�1
NEW METER# _ - y� ��� ! � �
NEW READfNG_<J
�RT� �12�2�225"
FRIDLEY CITY CODE
CHAP'CER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRAT{ON
(Ref Ord No 113,464,565,566,fi29,638,6fi2,922,988,1144,1155,1191j
402.5 PERMIT FEE
Prior to constructing o�repair of any water of sewer line connecting the existing municipai system and any house or building for which the
application is made,the owner or contractor shafi be required to obtain a permit for such connection,and shati pay a permit fee as pravided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlaarfui to cover
any connecting line until an inspection has been made and such cannection and the work incident thereto has been approved by the City as a
proper and suttahle connection.
402.06 REPAIRS APtD MAINTENANCE TO CONNECTION
After the initiat conoection has been made to the arater sesvice curb stop box or the sewer lead at the proQerty line or a water senvice iead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises sha{{be tiable for atl repairs
required to any water fine and sewer lines necessary for co�aection of the premises from the main to the premises. if the groperty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairn:enance andjo�
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be tf�e responsibifity of the applicant,
owner,occupant or user to perform standard maintenance of the sewer seroice line from the premises to the main incfuding debris clearing or
raot cutting and to maintain the water service curb stop box for operabifity and at such height as will ensure that it remair►s above the finished
grade of the tand or property. (Ref 638,1156,1191)