Meter Swap �
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Request Number: 16494
Public Works Division
Service Request
Problem Address: 6203 Heather PI Requested By: Tim
Department: WATER Address: No address pa�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-209-2376
Sched d �te: 20 7-OS-02 r� Sc6eduled'lime: 08:30:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-27
ACTION T N: ��
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Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: Completed by:
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� , �i�y���r6dley ���-� �7 r �./"" , �7�
` M/a#er�epartrvaerat /.�
C431 l3�iwersBty Avenue 6VE ��� ���" d
FrBslley,MN 55432
763-5723566
IJwe hereb�authorize the City of Fridtey and/or its empioyees to s!o what is necessary to
replace#he water meter. I understand that the property owner is liable for the water line from ihe main to the premise and all 9nterior
plumbing. (Per�ity code 402.06) I aiso hold the City of Fridley andfits employees harmiess for arry damages that may occur while doing this
operafiion. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand i�m also requirE
to abtain a permit pcior to any work,if necessary.
FINAL METER READING(oid meterj ��' v �� '
Name• _ Address _ �� 1/�;f-(�/1 ' �1l ` 1
` - � �,� 2- �
Phone 9Yumber pa�
�5ignature Witness Signature
OLD METER# � ��� ����
OLD READtNG �� �� v�O
NEW MEfER# �����lJ v
NEW READlNG
ERT# � Z'"lZ�l S J
FRIDLEY CITY CODE
CFLAP�'ER 402.WA�ER,STORM VI�ATER AND SANiTARY SEWER
A�MINISTRAT{ON
�ttef Ord No 113,464,565,566, 629,638,662,922,988, I144,1156,1191)
402.5 PERMIT FEE
� Prior#o�constructing ar repair of arry water of sewer line connecting the existing municipal sys#em and arry house or building for which the
apptiption is made,the owner or comxactor shall be required to obtain a perrrrit for such connecCion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Oepartmerrt shal(be notified. tt shalf be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incidenfi thereto has been approved by the City as a
proper and suitahle connectio�.
Q02.06 REPAIRS AND MAIN'fEiYANCE'i'O COiYNECTtOPt
,After the initiai co�nection has been made to the arater service curb stop box or the sewer lead at the property line or a water sewice iead has
been extended to the property line for connection,the applicant,owner,or occuparrt ar user of such premises shall b�liabte for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests mairrtenance service ar repairs be performed by the�ty,the property owner shall be charged for fihe costs of the mairitenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility vF the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includtng debris ctearing or
root cutting and to maintain the yvater service curb stop hox for operabil'rty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,11911