Meter Swap Request Number: 13466
Public Works Division
Service Request
Problem Addresa: 6045 Mcldnley St Requested By: Lisa
Depnrtment: WA1ER Addresa• 6043 Mckinley St
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER PLo�Number: 612-618-2900
Schednled te: 2017-02-24 � Schednled Ttme: 08:30:00
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AClION NF�DED:
Created by: Beth Kondrick Date Cre�ted: 2017-02-14
ACIION�AKEN:
N���.
Statua: In Progress ���et Ii�Been r,
Contacted
Date Completed: Compteted by:
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643].iDss6v�a-sit�e Avenaae R1� � ` /
Friddeyg MI'� 5�432 �� 1 "� V
, 763-572-3566 �\�
�1'N� her�by authorize#he�ty uf Fridley and/or its empioyees to do what is necessary to
replace the wa$er rneter. 1 understand that the propeety owner is liable for the mrater line from the main to the premise and all imerior
;�iumbing. (Per C"rry�ode 402.06) i a(so hold the City of Fridley andrts employees P►armless for any�lamages tfiat may or.cur+uhile doing this
operation. This to Include,bufi not!im"rted to valves,piping,walls,floors or the curb stop bax and senrice lie�e. In understand!am also requir
to obtain a permit pr9or to arry�rarlc,if necessary.
{���� �I �_ �g� ! � v' � �
FtNAl.f1AETER READING(old meter) � ` �
Name• Address O 1� G 1NNLrC�
Phone Number � p� (, _
Sign �' �
W3tness Signature
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o�o��-�R# ��a ��
OLD READtNG � 4� �6C�
NEW METER# `/'�� � �Q�I�
N£W READfIVG �
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ERT# � � V \ �C1J i l ,
FRIDLEY CITY CODE
CHAPTER 402.WA'CER,STORM WATER AND SANITAEiY SEINER
ADMlNISTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,I144,1I56,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapai sys#em and arry house or buildir�for which the
application is made,the owner or corrtractor shal!be required to obtain a permit for�ch con�ection,and shali pay a permit fee as providec(i�r
Chapter 11 of#his Code. After sucfi connectipn has been made,the Water aod Sewer Departmertt shali be notified. tt shali be unlawfui to cove
any connecting line ur�til an inspection has been made and such connect9ort and the work inaderrt thereto has been approved by the Ciiq as a
proper and suitable connection.
402.06 REPAtRS AND 11AAIPITENAfYCE TO CONNECTIOM
After tFre initia!connection has�een made to the water servtce arb stop box or the sewer fead at the property tine or a water xnrice lead has
been extended to fihe property line for connection,the appiicartt,owner,or accupan#or user of such premises shail be liabie for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the pr�mises. tf the proAerly awner
requests mai�tenance service or repairs be perFormed by the CFty,ihe proper#y owner shali be charged for the costs a�f the madrrterrance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrakive policy. it shali be the responsbility of the ap�icarrt,
owner,occuparrt or user to perform standard mairrtenance of#he sewer service line from the premises to the main induding deb�is dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure Chat it remai�above the fFnished
grade af the(and or property. �Ref 638,1156,1191)