Meter Swap Request Number: 13416
Public works Division
Service Reqt�est
Problem Address: 5511 Matterlmrn Dr Requested By: Jenn}+Lunde
Departme�: WA'IER Address: No address provided
Problem/Tssue: INSTALL AMR METER Phone Number: 572-7952
Sc eduled atc: 2017-02-16 Schednled'Rme: 08:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-02-10
ACTION TAi�N•
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Status: In Progress ���er Har Been �
CoMacted
Date Cumpleted: Com�deted by:
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5431 llnivea-sltry�l�vera�e N� � � �� �j � �
Friclley, MN 554�2 �
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. t�we her�by authorize the C'rty a#�eidley and�or its empioyees to aio what ds necessary to
replece the water meter. 1 n�nderstand that fihe property owner is liable for the+ivater line from the main to the premise and all interior
plurrtbing. �Per City cosle$02.06� i also hold the Ciiy of�ridiey and/Fts employees harmless#or erry damages that may occur while doir�g this
o�eration. This to�nclude,bufi not limi#ed 3o valves,piping,walls,floors or khe curb stop box and service line_ In understand 1 am also requir
to obtain a perm'rt prior to any�vorlc,�f necessaey.
FBAIAL METER READING�old meterJ ����� " O
Name: v�✓�`�`""' �1�If�drC._ Address��`\ ����dr Y�. �'(—
Phone Number � �i���� p� Z-`�� `�
Signature Witness Signature
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OLD READtlVG CV �S O JO
NEW METER#=1�__CY.v�� �
NEW READIPIG
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FRIDLEY CI7'Y CODE
CH,�IPTER 402.WATER,STORM WAITER AND SANITARY SEWER
ADMINISTRATION
{Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,i191}
�025 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapa(system and arry house or buitdirig for which the
eppiicafiion is made,the owner or contractor shali be required to obtai�a permit for such conoection,and shali pay a permii fee as provided irr
Chapter 11 of this Code. After such connection has i�een rriade,the Wate�and Sewer Departmerrt shall be notified. ft shall be un(awful to cove
any connecting line untii an inspection has been anade and such tonnection and the worlc inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAlRS AWD MAINTENANCE TO COtMNECTION
After the initiat connectiort has been made to the water service curb stop box or the sewer�ead at the property Itne or a water service Iead has
been extended to fihe property line for connection,the appiicarrt,owner,or accupar�t or user o#such premises shalt be liabie for�ll repairs
required to any water tine and searer lines necessary for connection of the premises from t1�main to the premises. ff the property orrner
requests maintenance service or repairs be performed by the City,#fie property owner shail be charged for#he costs of the mairrtenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poiicy. It shati be the sesponsbitity af the applicant,
owner,occuparrt or user to perform standard mairrtenance af the sewer service line from the premises to the main�ocluding debris dearing or
root certting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j