Meter Swap � Request Number: 13066
Public Works Division
Service Request �
Problem Address: 1500 N Innslxuck Dr Requested By: Ms St�ley
Department: WATER A,ddress: No address provided
Problemljss�: INSTALL AMR METER Phone Number: 571-7801
Schednled Date: 2017-01-27 Schedaled 11me: 11:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-25
ACTION TAI�N:
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Sts�tua: �n Progress Snbmitter Has Been f.,
Contxted
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Date Coa� eted. Com eted �
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4llatea-�e�aarta�slent
6431 Undversityr Ave�it�e 4VE
Frid[ey,MN 55432 '� I �� y�y>� -v�
` 763-572-3566 �� '�� / si
j�'iYe hereby authorize the Cifij�f Fridley a�df or its empioyees to s!o whafi ds necessary to
sepiace#he water meter. 1 understand that the propea-ty owner is{iabte for the water iine#rom the main to the premise and all interior
plumbing. (Per City�ode 402.06) i atso hotd the C�ty of Fridley andJits employees harmiess fior any slamages tFeat may occur while doing this
operation. This to incfude,bufi nnt limi#ed to va{ves,piping,wafls,floors or the curb stop 6ox and service line. In understand!am afso require�
to obtain a permit prior ta any�ror�c,if necessaey.
FINAL METER READf4NG(old meter) � +i ✓ v `-� � O
lYame:_'"vJ ��C��� Address ���Q {�• �V I�I�I-$�r'�il.(�.. �/ .
Phone Num6er � [ 1 � V� � p� �. '��, � ��
Signature Witness S�nature l
OLD METER#__���� �� �J
OLD READtt11C ��V"�U
RiEW METER# � g 9v� a�
NfW READIf11G � "
ERT# � � V � � �-- l 3 _ ,
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FRiDLEY CITY CODE
CHAPT�R 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,6Z9,638,662,922,988,1144,1156,2191]
402.5 PERM4T FEE
Prior to constructing or repa�r of any water of sewer line connecting the existing muniapat system and arry house or buifding fo�which the
application is made,the owner or corrtractor shal(be reguired to abtain a permifi for such connection,and shalt pay a permit fee as provided 7n�
Cha}rCer 11 af tfiis Code. After such connection has 6een made,the Water a�d Sewer Department shall be natFFied. R shail be unlawfui to cover
arry connecting line urrtii an inspection 6as been made and such connection and the work inaderrt thereto has been approved by the Cty as a
proper and suitabte connection.
�02.06 REPAIRS AND MAINTEMANCE TO CONNECTtOIY
After the initial connection has been made to the water service curq stop box or the sewer(ead at the property line or a water senrice lead has
been exCended to the p�aperty line for connection,the appticarrt,owner,or accuparrt oc usQr of wch premises st�aH be liabie for ei1 repairs
required to any water line and sewer lines s�ecessary for cannection aF ihe premises from the main to the premises. ff the property owner
requests mairrtenance service or repairs be performed by the C'it�r,the property owner shall be charged far the cests af the mair►tenar�ce andior
repaics,including necessary street repain at a rate set annually by an administrat�ve poliry. It shail be the responsbil'ity of the appticant,
owner,occupant or user Co perform standard mairrtenance of the sewer service line from the premises to tbe main inciuding deb�is dearing or
root cutting and to ma+rrtain the water service curb stop box for operability and at such height as wilt ensure that it remair�above the finished
grade of#he land or p�operty. (Ref 63&,1156,1191)