Meter Swap �
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Request Number: 16446
Public Works Division
Service Request
Problem Address: 1647 Kristin Ct Requested By: Richazd Anderson
' Department: WATER Address: No a�ddress provided
ProblemlIssue: INSTALL AMR METER Phone Number: 763-571-7125 ,
Scheduled Date: 2017-07-28 Schednled Time: 09:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-24 , V
ACTION TAI�N:
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Status: In Progress Snbmitter Aas Been r
Contacted
DateCompleted: � � Completedby:
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, � City of Fridley
Water Department � �{� �` I ��/
6431 University Avenue AIE �� � �71�
Fridley,MN 55432
763-572-356�
1/we fiereby authorize the City of Fridley aad/or its emp{oyees to do what is necessary to
rep4ace the water meter. t understand that the property owner is liable for the water tine from the main to the premise and ail interior
plumbing. (Per City code 402.06) 1 also hoid the City of Frid{ey andiits employees harmless for any damages that may occur while doing this
operation. This to include,but not qmited to vaives,piping,wafts,floors or the curb stop box and service line. In undes�siaml I am aiso requlred
to abtain a permit prior to any wortc,if necessary.
FINAL METER READING(old meterJ � � V � � ✓ v
�iame: ���LY�4�1� � .[o�jO�Address ���� 1�i'(�U�� �/� •
Phone�fumber � �� �`���, �" p�-��" � �
Sig�ature Witness Signature __—�
OLD METER#__ �C��� V� �
OLD READING � ` �� `��
NEW METER# �l q 35 �.7 i I
NfW READING V
ERT#_ ��" tOC. �� �,�
FR{DLEY C{TY CODE
CHAPTER 402.WATER,STORM 1NATER AND SANITARY SEWER
ADMINlSTRA7iON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior ta constructing or repair of arry water of sewer lirte wnnecting the existing municipal system and arry house or 6uitding for which the
application is made,the owner or contractor shall be requi�ed to obtain a permit for such connection,and shall pay a pe�mlt fee as provided in
Chapter li of this Code. After such connecCion has been made,the Water and Sewer Departmerrt shait be notified It shail be unlawfut to cover
any connecting line uatil are inspectaon fias been made and such connection and the work incident thereto has been approved by the Cety as a
proper and suitable connedion.
4�OZ.06 REPAIRS AND MAINTENANCE TO CORINEC710N
After the initiai connection has been made to the water service curb stop box or the sewer lead at the praperty line or a water servtce tead has
been extended to the property line for tonnection,#he applicant,owner,or occupant o�user of such premises shalf be 1labie for ail repairs
required to any water line and sewer lines necQssary for connection of the premises from the main to the premises. tf the groperty owner
requesfis maintenance service or repairs be performed by the�ty,the property uwner shatt be charged for the casts of the mairttenance and/or
repairs,incfuding necessary street repairs at a rate set annuaify by an administrative pol4cy. It shal!be the responsibility of the applicarit,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing o�
root cutting and to maintain the water senrice curb stop box for operability and at such height as wil!ensure that it remair�s above the finished
grade of the land or property. (Ref 638,1156,1191 f