Meter Swap �• w
Request Number: 16485
Public works Division
Service Request
Problem Address: 1010 Lynde Dr Requested By: Alexia Kjos
Department: WATER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 651-399-5508
SchedWedDate: 2017- 8-01 Scheduled'I3me: 07:00:00
ST
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201?-07-27
A ON T.�I� : �
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Statas: In Progress Submitter Haa Been r
Contacted _
Date Completed: Completed by:
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6�31 l�nov�rsaty A,�renue NE
Erasll�y,MPI 55432
763-572-35b6
iJwe hereby authorize the�ty aE Fridiey and/or its employees to da what is necessary to
replace t6e water meter. 1�nderstand that the property owner is liable for the water line from the main to the premise and a!!iriterior
plumbing. (Per�ity code 402.06) !atso hold the�'ity of Fridley and�ts employees harmiess#or arry damages that may ocxur while doing this
operation. 3his to inciude,but not 4imited to vatves,pipi�g,wails,#loors or the cueb stop box and senrice line. In understand R am aiso requirE
to obtain a permit prior to any wes�[c,i#necessary.
FINAt METER REAQIIYG(cid meter} �� �� �' �
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Name: ����. � Address
Phone lYumber�YJ��'� � V'��V���pate�,��,�
�Signature Witness Signature
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o�� M�-ER� `��� �ayD
OLD READlNG � � Z2 � � O "_"�S�l0 WD%I� Q'�'fP�h S/EQY„f' �.�`
NEW METER# { I J V c.�� I '"'e,r'�'T��,�P.f �
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FRIDLEY CIT(CODE
CHAi�TER 402.WATER,S70RM WATER AND SANC!'ARY SEWER
ADMINISTRATION
(ttef Ord No 113,464,565,566,629,638,662,922,988,I144,1156,119Tj
402.5 PERMIT FEE
� Prior to coastructing or repair o�f arry water�F sewer(ine connecting the eicisting rnunicipai system and any house or buiiding for which the
appiiption is made,the awner or contractor shall be required to obtain a permit for such connection,and shait pay a permit fee as provided in
Chapter 11 of tfiis Code. After such connection has been made,the Wa#er and Sewer Department shall be notified. It shal!be unta+afui to tover
any connecCing line until an tnspecCion has been made and such connedion and the work incident thereto has beert appcoved by the Ctty as a
proper and suitabie connectroR.
402.06 REPAtRS AND MA{PITEPfAPiCE TO CORfNECT10Pt
After the initiai tonesection has been made to the water service curb sCop box or the sewer tead at the property t�ne or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant ar user of such premises shall be liabie for all repairs
required ta anY waiter tine and sewer tines necessary for connection of the premises from the main ta the premises. If t6e property owner
requests mairrtenance service or repairs be perFormed 4ry the City,the property owner shal!be charged for the costs of the mairttenance and/ar
repairs,inc{uding necessary street repairs at a rats set annuaNy!�y an administrative policy. 1t shall be tfie responsibility of Che applicarrt,
owner,occuparrt ar user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the�aater service curb stop hox for opera6itity and at such height as wili ensure that it remains above the finished
grade of the fand ar property. (Ref 638,1156,1S91j