Meter Swap �
Request Number: 13444
Public works Division
Service Reqt�est
Problem Address: 5250 Li�oln St Requested By: Mattt�w Christnsen
Departme�: WA'IER Address: No ad�ess provided
Problem/Isa�: INSTALL AMR METER Phone Nnmber: 651-252-7611
Scheduled Dnte: 2017-02-22 rd Sc d�ied 11me: 01:00:00
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AC IION NEEDED: `��'
CreAted by: Wendy Hiatt Date Cteated: 2017-02-13
ACTION TA[�N:
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Status: In Pro ss Submitter Hu Beeu �,
� CoMacted
Dxte Completed: Completed by:
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Fr'tdtey,MN 5S4R32 �,
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�/W� her�eby authorize the�"rty of Fridley andJor its empioyees to do what ds necessary tn
replace#he water rneter. i�nderstand that�he propea�ty owner is tiable for the water line frrom�he main to the premise and a0 imerior
plurrtbing. (Per Ciry code 402.06� i also hotd the�ity�f�ridley and/"rts empioyees harmless#or any damages that may occur while doing this
oper�tion. This�o anciude,but not limited to vaives,piping,walis,�loors or the svrb stop boz ancl service line. In understand 1 am a requii
to obtain a permi�prior to any ierorlc,if necessary.
S �o �+ 6�
FINAL MEfER READING(old meter) �
Name: Address �� JO �(����"
Phone Num6er p� — ��
Signature YY'stness Sigrsature
OLD METER# i ��0� ��J�� �^
OLD READtNG_ �S�� -'l��jV 'T
RiEW METER# � V 1,���j 1�
NEIN READING �
��T# _ � c�� b3�$ �� �
FRIDLEY CI'TY CODE
CHAPTER d02.WATER,STORM WATER AND SANITA�I SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to cvnstructing ar repair of arry Mrater af sewer{ine connecting tfie existing muniapai system and arry house or buiiding for which#he
apptication is made,the awner or contractor shall be required to obtain a permifi for such connection,and shall pay a permii fee as provided in
Cha}�ter 11 of this Code. After such connection has t�een made,the Water and Sewer Deparbnent shali be notified, tt shaq be unlawfut to covE
any connecting tine until an inspection has been made and such connection and the wor�c inaderrt thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAiRS AND MAINTEfIIANCE T�COMNECTION
After the in'rtiat connectio�has been made to the water service a,irb stop box or the sewer lead at the property iine vr a water�nrice lead has
been extended to fihe property fine for connedaon,the ap�licarrt,owner,ac accupasst or user of such premises sftiatt be fiable for aN repairs
required to any water I�ne and sewer lines necessary fvr connedion af the premises from the main to the premises. ff the property owner.�._;`�'
requests mairitenance senrice or repairs be perfurmed by the City,the property owner shaN be charged for tfie costs af the maiMenance�v�
repairs,including necessary street repairs aC a rate set annualty by an administrative pol'iry. ft shall be the responsbility of the appfi�:
owner,ocsuparrt or user to perform standard mairttenance of the sewer service line from fihe premises to the rnain inciuding debrts��
root sutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains a6ove the fini5�ed
grade of the land or property. (Ref 638,1156,1191)