Meter Swap . � � Request Number: 13075
Public works Division
Service Request
Problem Addresa: 1440 N Iimstxivck Dr Requested By: Fxin
Department: WATER Address: No address provided
Probtem/Issue: INSTALL AMR METER Phone Number: 612-308-3895
Schednled Dxte: 2017-02-03 � 5chedaled'ltme: 02:00:00
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AC'IION NEEDED:
CreAted by: Wendy Hiatt Date Created: 2017-01-25
AC"IION TAI�N:
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Stat�: In Prog,ress Sabmitter Has Been r
Contacted
Date Coa�pteted:, Completed by:
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Water�epar�tanent
6431 University�lvenue N� � �
Fridtey, MA! 55432 � �� � � ��
� 763-572-3566 � � �.�l� �t0 � ��-' _�; � �
�,�e here6y authorize the C'�ty af Fritlley and/or its empioyees to do what is necessary to
replace the wafier meter. �understand that�he property owner is liable for the water line#rom the main to the premise and all interior
plumbing. (Per Ctty sode 402.06j i also hold the C'tty vf Fridley andfits employees harmless for eny damages that may occur while doing this
operation. This to 6nclude,but not limi#ed to valves,piping,walls,flooe�s or the curb stop box and service 1ine. In understand!am also require�
to obtain a permit prior to arry�ror4c,�f aecessary,
FINAL METER READING old meter �� ��o
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Name:���I�+ Address 1� I O � ����� �
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Phone�lumber p� V
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Signature Witness Signature `-�'��
OLD METER# ���S�� � �
OLD READING � �`'� �� �
iVEW METER#� �7�� �`�''
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NEW READING�
ERT# ����� ���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
�Ref Ord No 113,464,565,566,629,63$,662,922,988,1144,I156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipat system and arry house or lwiidir�for which the
application is made,the owner or corrtrador shall be required to obtain a permit for such connection,and sNalt pay a permit fee as providecl in•
Cha�rter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notif'ied. it shail be untawfvl to cover
any connecting(ine ur�tii an inspection has been made and such connettion and the wor�c inadeM thereto has been appcoved by the City as a
proper and witabte connection.
402.06 REPAIRS AND MAINTEIYANCE TO CON111ECTION
After the initial connectiort has been made to the water service wrb stop box or Che sewer lead at the property line or a water servic�Iead has
been extended to the property line for wnnection,the applicarrt,owner,or accupaM or user of such premises shatl be iiabie fpr a(�repairs
required to any water line and sewer lines necessary#or connection of the premises from the mai�to the premises. tf the property Qarner
requests maintenance service or repairs be per-Formed by the City,the property owner shall be charged for the costs of the mairrtenarroe and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. ft shali be the responsbility ofithe app�icarrk,
owner,occuparn or user to perform standard mairrtenance af the sewer service line from the premises to the main including debris dear�ng or
root tutting and to mairrtain the water service curb sfiop box for operability and at such height�will ensure that iC remains above the fin'�shed
grade of the land o�propecty. (Ref 638,1156,1191J
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