Meter Swap �
� Request Number: 13479
Public works Division
Service Request
Problem Addreas: 1316 Hillcrest Dr Requested By: Jessica Evanson
Department: WA1ER A�reas: No ad�ess pmvidcd
Problem/Issue: INSTALL AMR METER Phone Nnmber: 616-299-5105
Sehe Date: 2017-02-16 5c�edule�1lme: U7:30:00
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ACIION NEIDED:
Created by: Wendy Hiatt Dste Created: 2017-02-1 S
AC"I'ION TAKEN: - �
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Stmns: In Progress sabmitter au seea C,
Contacted
Ds�te Compieted: Completed by:
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6431 l9nfve�sity Aven�ae NE � (,�
Fridley,MlRf 554.32 � � ` �
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here6y authorize#he City af Fridley andjor its empioyees to aio wfiat es necessary to
+ replace#he water meter. I vnderstand that the propecty owner 9s liable for the water line feom ghe main to the premisQ and aN irrterior
plurr�bing. (Per City cocie 402.06) i a(so�hold the City�f Fridley and/its employees harrnless#or any slamages that snay occur whi{e doing this
operation. This to include,but not Bimited io valves,piping,walls,floors or the curb stop box and service line. ln understand I am also requir
to abtain a permit prior io any wonk,if necessary.
FIAIAL METER READING(okt meter� � "� `' � ��O
Name: J Q'�'JcJ l C�E}— F�J ���� Address �3�� �'f 1,l�`C'� �'("'
Phone Number�`,2"���f�t�� p� Z` �� '+ \ l
Signatare `'�1 ��
YYtfiness Signature
OtD METER# Cv �� v t J�/
OLD READt'NG���'�"� ��V
NEW METER#__ I�'"LO���O
fNEW READtNG �
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FRIDLE1f C1TY CO�DE
CHAPTER 402.WATER,SCORM WATER AND SANITARY SEWER
ADMNMISTRATiON
(Re�f Ord No 113,464,5b5,566,629,638,562,92Z,988,I144,1I56,1191j
4�02.5 PERMIT PEE
Prior to construcCing or repair of any water of sewer line connecting the existing municipaf system and arry hause or bu�ldir��or which the
epplication is made,the owner or corrtracto�sha!(be required tv obtain a permifi for such conoection,and shall pay a permit�ee as provided in•
Chapter 11 of this Gode. After such wnnection has been made,the Water and Sewer Department shall be nofified. it shail i�uniaarful to co�
any connecting line un�il an inspectson has been made and such connection and the work inctderrt thereto has been approved by the City as a
proper and suitabte connectio�a.
402.06 REPA1iliS AI1{D lIOIA14YTE1yq(�CE TO CONNECTION
A#ter the initial connection has been made to the water service curb stop box or the server lead art#�e pm�eety line oc a water'service lead f�as
been exfiended#o the property line for connection,the app{icarrt,owner,or accuparrt or user af wch premues sf+att be liat�e for ail repairs
required to any water l�ne and sewer lines necessary for connectian af the premises fram the main to ihe premises. If the property onrner
requests mairrtenance senrice or repairs be performed by the C'rty,the property owner shaH be+charged fvr the sosts af the maintenance and/or
repairs,including necessary y�treet repairs at a rate set annuaily!ry an administra#ive palicy. It sfiat{be the responsibifity of the appTicartC,
owner,occupant or user to perform sCandard mairrtenance af the sewec service line fram the premises to the main inctudir�g debris dearing or
root cutting and to mair�tain the water service curb stop hoK for operability and at such height as wiN ensure that it remains abave the finished
grade of#he land or property. {Ref 638,1156�1191)
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