Meter Swap , '� � �6�y�f Fric(ley 2��,. -` 0 � � �r- ��
lh��er�e�sartanent
6431 l�niversity Avenue NE � � � ��'C�
F�idley,MN 55432
753-572-35�6
�'We hereby authorize the City of�ridley andJor its employees to do what is necessary to
repiace the water meter. !understand that the property owner is lia6te for the water(ine fmrrt the main to#he pnemise and a!4 interior
pfumhiag. (Per City code 40ZA6) 9 aiso hoid the+Ciiy of Fridley and/its employees harmtess#or any damages that may accur white doing this
operafiion. ?his to include,but not timit�d to vatves,piping,vnrai{s,floors�r the curts stop box and service iine. {n understand i am atso require
to abtain a permit prior to any wartc,if necessa,y,
FINALlwtETER READIWG(oid meter} � / � � ���
Name: 1 ��'Y 1 Address_ �� 1 ti./ ��t�� Iri� �1�.
Pfione Aiumber � ^ � V " ��� p� _ � `- �,� — � �
�ignature iN'�ess Signature
OLD NIETER# � � ✓ � '� �� � r � �r ��
O�D READiNG `��✓� �� �%�-", I `- �� "��
���
MEW METER# ������ �J�-�� V�°�
N��,�D��G d `�.a 3 � � 2�s x,
��,-� � l�3 � Cs�� �.�
FRiDLEY CfTY CODE
CHAIPTER 41J2.WATER,STORM WATER AND SANRARY SEWER
ADMIN{STRATIOAt
{Ref Ord No 113,464,565,566,629,538,66Z,922,988,1144,1156,119i'
402.5 PERMlT FEE
Priar to cunstructing or repair of any water af sewer tine connecting the�acisting rnunicipai system and erry house or k�titding for which the
applicafiion is made,the owner or coritractor shaii be required to abtain a permit for such mnnection,and shalt pay a pertnit fiee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shafl be notified. tt shalt he unlawfuul to covec
arry co�necting line until an inspection has beert made and suth conrtection and the work inadent tltereto has t�een appmved by the Cit�rj as a
proper and suitab(e connection.
402A6 REPAtRS AND MAINTENANCE TO CONNECTIOIV
After tFee+�itial connection has been made to the water servics curb stop hax or the sewer(ead at the property line or a water service{ead has
been extended to the property line for connection,the appiicar�t,owner,o�oocupasit ar user of such premises shall k�liabte for afl repairs
required ta any water line and sewer lines necessary for connectian of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed hy fihe�ty,fihe property owner shall be charged for the cUsts af fihe mairrtenance andJar
repairs,inciuding necessary street repairs at a rate set annualiy by an administrative policy. It shall be the responsibilityr of the appii�M,
owner,occupant or user to perform standard maintenance of the sewer service fiae from the premises to the main sncluding debris dearirsg or
root cutting and to maintain the water service curb stop box fo�operability and at such height as wiil ensure that it remains above the�nished
grade of the fand or properly. (Ref 638,1156,1191j
. �
F
Request Number: 16534
~ Public works Division
Service Request
Problera Address: 5570 Matterhom Dr Requested By: Tim
Department: WATER Address: No adchess provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-210-7085
Scheduled Date: 20 7-08-i l �{ Schednled'Ilme: 07:30:00
� � . r `/ _ ,3v _ .
ACT'ION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-08-01
ACIION TAI�N: �
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__...._._._....._..:..............__�.�........_.__ �n�.�._.�....1�a___. � �
___..__._....................__. _._.___. _._ ._�Q_X��_�u�. ___.��"��
Status: In Progress Snbmuttter Has Been �..
Contacted
Date Compteted: � t l Completed by: i ��
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