Meter Swap � � Request Number: 16456
Public Works Division
Service Request
Problem Address: 5505 Matterhorn Dr Requested By: Edward
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-201-5151
Scheduled Date: 2017-07-27 Schednled Time: 10:30:00
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ACTION NEEDED:
Created by: Beth Konclrick Date Created: 2017-07-25
ACTTON TAI�N:
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Status: In Progress Snbmitter Has Been r
Coutacted
Date Completed: � .�a� _....,� Completed by:
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�6���Fr6elley
'� I � � ��3��1�� ��l
, , VI/a�ea-�eparta�aen� �� � .1'-�� �
6431 l�niversi�y Avenue NE
Fr6siley,MN 55432
753-572-35fsfi
1/we fiereby authorize the City af Fridtey and/or its employees to do what is necessary to
replace the water meter. i understand that the�oroperty owner is liabie for the water line frorrs the mairt to the pnemise and all�riterior
plumbing. (Per City code 402.06) 1 also hold the Crty of Fridley and/its employees harmfess for arry damages that rr�ay occur while doing#his
operation. This to include,but not limited to valves,piping„uvalis,floors or the curb stop box and senrice line. in understand 1 am aiso require
to abtain a�ermit preor to eny�rQr&,i#necessary.
FINAL METER REAQ14►1G{old meterj ��� � v
Name: �G� � Address__ �✓�� M�a��r he r� ��^
PhonelVumber ��'�"o'� � pa� _ �"��— ��
�Signature �-'�'` Wi�Mess Sig�ature �'�'�—
OLD METER# � d� �t 9 3'70
OLD READING �`' / /�l � lJ
NEWMETER# _ ! ��/ � ���
NEW RfADING �
ERT#_ ���� 6� �.
FRIDLEY CITY CODE
CHAi�TER 402.WATER,SCORM WATER AND SANlTAltY SEi�/ER
�nni�vesrRarsow
(ltef Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructi�g ar repair of any water ofi sewer iine connecting the existing municipal system and arry house or buiidtng for which the
appiication is matte,the owner or com:ractor shali be required to obtain a permit for such connecCion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shal(be notified. Pt shalt be uniawful to c;oves
arry cflnnecting line until an inspection has been made and such connection and the work incident thereto has been approved by#re Crty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEAIANCE TO COPINECTION
After the initiat connecCion has been made to the water service curt�stop box or the sewer lead at the property line or a water service Itad has
been extended to the property line for connection,the applicant,awner,ar ocwpa►1t oc user o�f wch premises sfia8 be tiabie for ali repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be perfarmed hy the City,the property omrner shall be charged for the costs of the mairitenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. !t shall be tF�e responsibility of the appficarrt,
owner,occupant or user to perform standard maic►tenance of ifie sewer service fine from the premises to the main indu�ng debris clearing or
roofi cutting and to maintain Che water senrice curb stop box for operability and at such height as will ensure that it reroains above the frnished
grade of the tand ar property. {Ref 538,1156,1191'