Meter Swap . t
t Request Number: 16472
Public works Division
Service Request
Problem Address: 1233 Hathaway Ln Requested By: Jose
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-226-4175
Scheduled Date: 2017-07-27 Scheduled'lyme: 08:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Crestted: 2017-07-26
ACITON TAKEN:
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Status: In Progress Submitter Has Been �,:
Contacted
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Date Completed: ����L �� Completed by: C `�� r • '
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' vtiater�epartment /��
r 6431��6versity Arsen�a�ME � � '1 I��
Fridiey,MN 55432
7�3-572-3566
iJwe hereby authorize the Ctp aF Fridtey artdjor its employees to do what is necessary to
replace the water meter. !understand#hat the property awner is liabte for tfie water line from tfie main tv the premise and atl trrter�or
piurn6ing. {Per�C'ity code 402.06) !also hold the City af Fridley and/its employees harmiess for any dama�es that may occur white doing Lhis
operatian. This To inctude,but not limited to vslves,pigsn�wa{ts,floors or the turb stop box and service fine. in undec^stand i am atso require
to abtain a permit prior to any wor&,i#necessary.
FIAIAL METE4i READIPIG(o(d meter) -- � � �� ���
Name: �✓C Address _ ��� ��.�O�lit11�.�/ �•
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Phane Number `G ��"�aGa(,�' ����p� � '"" p� "' l�
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�ignature S Witoess Signature
Ol.D METER# ���a��
OLD READIMG � � � ��
NEW METER# t i��£j ( J�
NEW READIRIG O
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CFlAPTER 402.WATER,STt?RM WATER AND SANCfARY 5EWER
ADMINIS7RATfON
(Ref Ord No 113,4&�F,565,566,629,638,662,922,98$,1144,1155,1191j
402.5 FERMIT FEE
Prio�#o sonstructing or repair of arty water aE sewer fine connecting the existing municipai system arsd arry house or Iwiidin�for which the
application is made,the owner or comrackor shait!�e required to obtain a permit for such connection,and sha11 pay a permit fee as provided irt
Chapter 11 af this+Code. After such connection has been made,th¢Water and Server DeparCmerrt shal[be notified. ft shail be unlawFul to cover
any connecting iirte until an inspection has been made and such connection and the work incident tfiereto has been approved by#he City as a
proper and suitaiale connection.
402.06 REPAIRS AND MAItVTEPlANCE TO CONNECTIOIY
After the iaitiaf connection has been made Co the water service curb stop 6ox or tfie sewer(ead at the property line or a water servic,e tead has
been extended ta the property line for connection,the applicant,owne�,ur oacupavtt ar user of such premises shall tte lials{e for afI repairs
required to any water line and sewer tines necessary for cortneetson of tfie premises from the main to the premises. if the property awner
requests maintenance service ar repairs be perfvrmed(ty the C'fij,the pcoperty owner shall be charged for the costs nf the mair�tenance and/ar
repairs,inctuding necessary street repairs at a rate set annual{y by an administrative poticy. It shal{6e the responsibility of the applicarit,
owner,oaupanfi or user#o perform standard mairrtenance vf the sewer service line from the premises to the main inctuding debris clearing ar
rvot cutting and tn maintain#he wa#er sernice curb stap box for operabii'rty and at such height as wifl ensure that it remains aboae Che finished
grade of the land or property. (Ref 638,Z1S6,1191}