Meter Swap 4 Request Number: 13391
Public works IHvision
Service Request
Problem Addreaa: 5712 Maiterhorn Dr Requested By: Lawre�e
Department: WATER Addre:a; No address provided
Problem/Issue: INSTALL AMR METER P6oae Nnmber:
Schednled Date: 2017-02-16 Scheduled'IIme: 01:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date CreaRed: 2017-02-09
ACIION TAI�N•
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fj''
Status: In Progress ''' Snbmitter H�Been �.,
Coutacted
Dnte Completed: Campleted by:
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2� ��o ' � �. `� �6�
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5431 Univ�rsit�l�ver�we 9Y� � ` '�� i �j
Fridley, MN 55432 l D
. 763-572-3566 .� � �' l� (d ?����'� ,.� �
� !/we hereby authorize the City af Fridley and/or rt empioyees to do what is necessary to
replace the water meter. I understand that�he properry owner is liable foa'the water line from the main to the premise and ail irrterior
plurrtbing. (Per Ctty sode d02.06j i also hold the City�of Fridley aqd/'rts empioyees harmless for any damages that may occu:rrhile doing this
opew�tion. This#0 9ncfude,but not Bimi#ed do valves,p�ping,wa(Is,flooPs or the curb stop l�ox and service line. In understand!am alsa requir
to obtain a permit prior to any�ror�c,�f necessary.
,
FitlIAL METER READING oi ��� � ��
( d meter)
Name: )���:./� v`!L, Address �� f� r
Phone Number � p� ��\� �
Signature_ �.-. Wiiness Signature
OLD METER# �� �� ( g
OLD READtt11G ��_�p �J��
NEW METER#_ t� w ���,�
NEW READtIVG �
ERT# 1 � �V� 1� �/�� �
FRIDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,538,562,922,988,1144,I1.56,1191)
402.5 PERMlT FEE
Prior to constructing or repair of any water of sewer tine connecting the existing muniapa(system and arry twuse or buiidir�for whidt the
applicafiion is made,the owner or coritractor sha((be required to obtain a permit for such connection,and sNali pay a permit fee as provided in•
Chapter 11 of this Code. After such canaection has been made,the Water and Sewer Department shall be notified. It shall be un(awfui to cove
any connecting line urrtil an inspection has been made and such connection and the wor&inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.05 REP�4IRS AND!1►TAIfYTENANCE TQ CONNECTION
After the initia(connectiort has been made to the water service curb stop 6ox or the sewer lead at the praperty iine or a+rater serrice lead has
been extended#o the property line for connection,ihe applicarrt,owner,or accupant or user af such premises sfwl!be liaWe for ell repairs
required fio any water line and sewer lines aecessary for connection of the premises from the main to the premises. If the properly o�rner
requests main#enance senrice or repairs be performed by the C'rty,the property owner shaif be charged for the costs of the maintenanee and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shatl be the responsibility of the appiicarrt,
owner,occupant vr user to perform standard maintenance aF the sewer service line firom the premises to the main including debris dearing or
root cutting and fio maintain the water service curb stap bvx for operability and at such height as wifl ensure that it rernains above the finisFied
grade of the land or property. �Ref 638,1156,1191)