Meter Swap � --� Request Number: 13274
Public Works Division
Seivice Request
ProMem Address: 1343 Hillwind Rd Requested By: Jose�Kruse
Departmeut: WATER Address: 1343 Hillwind Rd
Fridley,MN 55432
Problem/Issuc: INSTALL AMR METER Phone Nnmber: 763-954-0243
3chednled Date: 2017-0 - Sc6ednled 1lme: 02:00:00
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AC'IIUN 11iEEDED:
Created by: Beth Kondrick Date Crested: 2017-02-03
ACTION T .
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Status: I�►Progress Snbmittee�Iias Beea �...
Contacted
llnte Com�leted: Compieted by:
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Fridley,MPl 55432 �
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� ���"°� her�by authorize#he Cityr a�f�ridiey andjor ifis empioyees to slo what ds�ecessary#a
replace the water meter. 1 understand td�at the propee�ty owner�s liabie for the wafier line from the main to the premise and a0 irnerior
plumbing. {Per C'rty code 402.06� 1 also hold the City of�ridley andJits employees harmless#or any slamages that may octur whi{e doing this
operation. 1'his to inclucte,bufi not limated to valves,piping,walls,flaocs or tfie curb stop box and service line. In understand i am also requi�
to obtain a permit prio�r to arry Worr�c,if necessary.
FtNA1 METER READING(old meter) � o��
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Name:—S.. ,�d�_ l 3�t 3 � ��'",..- �
Phone Numt�er p� 2„�`�--'`� �
Signature - - WlMess Signa#ure
o�u anEr�R� ���'1 �`�� 1
OLD READING O� �/ 1 �
NEW IIAETfR#�� 1 � ����
NEW RER.DIIVG �
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FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND S�NlTARY SEWER
ADMINISTRATION
(Ref Ord Wo 113,4G4,565,566,529,638,662,922,9$8,1144,1156,i191)
402.5 PERAAiT FEE
Prior to constructireg or sepair vf any water of sexrer line connecting the existing municipal system and arry house or buiidlr�for which i�he
appfication is made,the owner or corrtractor shai{be required to obtain a permit for such cQnnedion,and sfwli pay a permit fiee as prvvided in
Chapter 11 of this Cocie. After such connection has been made,the 1Nater and Sewer Departmer�t shall be notiEted. tt shafl be uniawful to covE
any coanecting line until an inspection has been made a�d such r,�nnection and the wor6c inaderrt thereto has been approved by the C'.rty as a
proper and sui#ab{e connecfiion.
402.06 REPAIRS AND MAIWTEN(ANCE TO CUNt1[ECCIQl�I
After the initia(coqnectivn has been made to the water service a,�ria stop box or the sewer tead at fihe property iine or a water service lead#�as
been extended to the property line for connection,the applicarrc,owner,or accupar+t os user of wch premises shaif be ltabie for ail repairs
required fio ar�y water line and sewer lines necessary fvr connection af the premises from the mai�to the premises. tf die property owner
requests mairrtenance service or repairs be perFormed by the C'ity,the property rnvner shatl be charged for the costs af the maicrtener�ce and/oi
repairs,includin�necessary street repairs at a rate set annually by an administrative po6+cy. R shali be the responsbility of the applicaM,
owner,ocEupar�t or user to perform standard mairrCenance ofi the sewer service line from the premises to the main indud'ing debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such heigPrf as wilt ensure that it remai�above#he finished
grade of the land o�property. (Ref 638,1156,1191J