Meter Swap e
` Request Number; 16454
Public works Division
Service Request
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Prohlem Address: 5880 Matterhorn Dr Requested By: -�apsang�Q��
Department: WA1ER Address: No acidress�xovidzd
Problem/�&ue: IN5TALL AMR METER Phone Number: 612-707-4200
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�, y Sc�} �Date: 2017-07-28 Scheduled TYme: 02:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2Q17-07-25
ACTION TAI�N: � �
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Status: In Progress �bmitter HAs Been �..,
Contacted
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Date Completed: �� ��v�� Completed by:
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�431 lAr�iversity Aar�ncae NE
F�adI�Y,MN 55432
753-572-3566
�I`"�e hereby authorize the f:ity of Fridiey artd(or its em�aloyees to do what is necessary to
replacs che water meter. !understand that the�roperty owner is liable for the urater line fram the main to the premise and a{t�nterdoP
pfumbing. (Per�C'rty code 4Q2A6} 9 a{so hofd the City of Fridley and/'rts employees harmless#or arry damages that may accur while doing#his
operatian. This to include,hut not limited to valves,pipin�waUs,floors or the curb stop box and service line. ln unden;W�d 1 am also require
to abtain a permit prior to any rrark,if necessary.
F9PIAL METE4t READIAt6(oid m erj �� � f
Name• Address V�1 '•
Phone lvumber '� '^� �e � � -- �,�
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`/�ignature Witness Signature
OLD METER# OG � ✓ �� �
C?LD READIIVG � � ���
PlE1N 1NETfR#�r � � � f �
NE1N REA�lWG � .
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FR[DLEY ClTY CODE
CHAP'TER 402.WATER,STORM WATER AND SANfCARY SEWER
AOMtNISTRATtON
{Ref Ord No 113,464,565,566,629,638,662,J22,988,1144,1156,1191j
402.5 PERMlT FEE
Prior to constructi�g or repair of arry water vF sewer line connecting the existing municipai system and arry house or build+ng fov which the
application is made,the ows�er or corrtrackor shafi be required to obtain a permit for such connecCion,and shatt pay a�msit fee as provided in
Chapter 11 of this Cade. After such connection has been made,the Water and Sewer Departmerrt shel!be notified. It shalt be unlawfvl to cove�
any connecting line unti[an inspection has been made and such conrtection and the work inciderrt thereto has 6eert approved by+tfie City as a
proper and suitable connection.
402.06 REPAIRS AND MAliVTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stap box or the sewer fead ai Lhe properCy line or a water service tead has
been extended to the property line for connection,the ap�rlicarrt,owner,or occuparit ar user of such premises shatt be liabte for a{i repairs
required to any water line and sewer{ines necessary#or cn�nection of the premises from tfie main to the premises. tf the property owrter
requests mairrtertance service or repairs be perPormed by the C�ty,the property owner shall be charged for the c4sts of the mairnenance and/ar
repairs,includiag necessary street repairs at a rate set annua[ly by an administrative policy. R shall be the responsibility oF the applicarrt,
owner,occupant or user to perform standa�d mairrtenance af the sewer service tine from the premises to the main including deBris dearirtg or
root cutCing aad to maintain the water service curb stap hox for operability and at wch height as will ensure fihat it remains above the finished
grade af the taad ar property. (Ref 638,1156,1191)