Meter Swap Request Number: 14686
Public Works Division
Service Request
Problem Address: 5351 Madison Street NE Requested By: Ivan Deigo
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-237-8533
Scheduled Date: 2017-04-19 Scheduled Time: 09:00:00
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ACTION 1VEEDED:Itbstall new AMR Meter
Created by: Jeaimie Benson Date Created: 2Q 17-04-14
ACTION TAI�N: _ `
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Submitter Has Been �µ�
Status: In Progress C" �,^
Contacted
Date Completed: ��'�„ (� Completed by: ����p � '� '
Honrs C �
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City of Fridley `�-'� � 3��r
Water Department
6431 University Avenue NE
Fridfey,MN 55432
763-572-3566
�/We hereby authorize the City of fridiey and/or its employees to do what is necessary to
replace the water meter. {understand that the property ewner is liable for the water line from the mairt to the premise and aN interior
plumbing. (Per City code 402.06) f atso hold the City of Fridley and/'+ts employees harmiess for ar�y damages that may occur while doing this
operatien. This to include,but not fimited to valves,piping,walls,floors or the wrb stop box and service line. In understand i am also required
to oBtain a permit prior to any work,if necessary.
FtNAL METER READING(oid meter� (j ����� 4
Name:_�UGVY�. �D� Iq a �►ddress � �� I v v 1,Gt,tL� ,1L1�- ���
Phone Number �'ti1.-� o��� - V��� Date �`� � ` ~ � 1
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Signature Witness Signature
(�� L� I.��� --"����"�c�-d w Cl�(�Ja��—1,,5
OLD METER# l ► �� G
OLD READING �� � 3 ��a
NEW METER# � � �� � ���
NEW READING �
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F�iui.Fr c�nr coo�
CHAPTER 402.WATER,STORM WAl'ER AND 5ANITARY SEWER
ADMINISTRATION
(Ref Ord Pio 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERM17 fEE
P�ior to conistructing or repair of any water of sewer iine connetting the existin�municipal system and any house or building for which the
application is made,the owner or co�tractor shatl be required to obtain a permit for such connection,and shaN pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt sfia41 be not�ed. It shail be unlawful to tover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOAi
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water�rvice lead has
been extended to the property line for connection,the applica�,owner,or occuparrt or user of such premises shatl be Itable for all repairs
required to a�y water line and sewer tines necessary for co�nection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the Ctty,tfie property owner shaii be charged for the wsts of the mairrtenance and/or
repairs,iocluding necessary meet repairs at a rate set annually by an administrative poliry. It shall Be the respons(bility of the app{icam,
owner,oaupant or user to perForm standard ma7ntenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service wrb stop box for operability and at such height as will ensure that it remaim above the finished
grade of the land or property. (Ref 638,1156,1191)