Meter Swap 3
`' Request Number: 16433
Public works Division
Service Request
Problem Address: 6549 Lucia Ln Requested By: Jackie Young
Deputment: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-0122
Schednled Date: 2017-07 26 Schednled T'ime: 09:00:00
1,�(�� � ��-t-IM`
ACTTON NEEDED:
Created by: Wendy Hiatt Date Crea�ed: 2017-07-24
ACITON T,4I�N:
�t�,S'�\ �'�l�
Status: Tn Progress Submitter Has Been r
Coutacted
D$te Completed: Completed by:
�1 �2�- l'1 T G�"
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2�f �p ��� 5�o r o�
� City�f Fridley
" Water Department ��-� ���y
fi431 University Avenue NE
Fridley,MN 55432
7E3-572-3565
��`"�e hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water liee from the main to the premise and aN irrterior
plumbing. (Per C'rty code 4Q2.06) 1 also hold the City of F�idley and/its employees harmless for any damages that may occur while doing tbis
operation. This to include,but not limited to vabes,piping,wa{{s,floors orthe curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIfYG(ald meterj ���
Piame:=��p�^`-'e' � V ._ Address � -` 1 �/V C`y(�+ `,�.
Phone Piumber�� `' , li1/ p� �- ��p'' �
Signature Witness Signature �
OLD METER# 0��� `V�v�
OLD READING _ J�� ��
NEWMETER#_`1—1 ��� �c.�
NEW READING �
ERT# � �� � ��� �
FRIOLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIMISTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water oF sewer{ine connecting the existing municipal system and any house or iwitding for which the
applicatian is made,the owner or contractor shal(be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter il af this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unla�aful to cover
any connecting line until an inspection has been made a�d such connection and the work incident tfiereto has been approved by the Crty as a
proper and suitable connection.
402.06 REPAIRS APID MAINTERIANCE TO CONNECTION
After the initial cQnnection has 6een made to the water service curb stop box or the sewer lead at the property line or a water service fead has
been extended to the property line for connection,the appticant,owner,or occuparrt or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by fihe City,the p�operty owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibil"Ry of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water senrice curb stop hox for operabii'ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)