Meter Swap ` Request Number: 13068
Public works Division
Service Request
Problem Address: 1467 N Innsbruck Dr Requested By: Rick Smith
Department: WATER Address: No address provided
Problemllssne: INSTALL AMR METER Phone Number: ?63-571-0101
Scheduled Date: 2017-01-26 Sc�edaled'Ilme: 10:30:00
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AC'ITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-25
ACIION TAKEN: �
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Status: In Progress Snbmitter Hsc BeeH r,
Co�acted
Ds�te Completed: Completed by:
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41/ater�e�sartrrtent �
6431 l�niversit'►Avenue R1E � (,,' .� �� �..,`�,
Fridley, M�1t 55432 ��,/�,, /
, 763-572-3566 ��)(p--�rS�Jf�IL���j %
t/We her�by authorize the City af Fridley andior its empioyees to do what is necessary to
replace#he water meter. 9 understand that the property owner is liabie for the water{ine#rom the main to the premise and all iMerior
plurrrbing. (Per City code 402.06j i also hold the City of Pcidley and/its emptoyees harmless for any slamages that may occur while doing this
operation. This to incfude,but not Bim'rted+to aalves,piping,walis,flaors or tl�e�uvb stop box arni service line. In understand I am also require�
to obtain a permit prior to arry rvo�-!c,if necessary.
F1NAL METER READING(old meter� �� � �
�ame: �C/� �r�,�,_ Address 1! 1p 1 v 11/I,h� �l�� �'
Phone Number�� r� `,"`i�p� ' T Z ^ r�
Signature Witness Signature
o�oM�-�R#_O� � c s sy
OLD READtNG ��Z� � �
WEW METER#"V 1 � ` ��Li ,
NEW READING _ �
ERT# � � � Y �( Y�
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FRIDLEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARIf SEINER
ADMfAI{STRATtON
(Ref Ord 9Yo 113,464,565,566,629,638,662,922,988,1144,I156,1191}
4Q2.5 PERMIT FEE
Prior to constructing or repair of any wate�of sewer line conneding the existing municipat system and arry house or buiiding for whicl�tFie
application is made,the owner or contractor shall be required to atatain a permit for such connection,and shail pay a permK fee as provided irr
Chapter 11 of this Code. After such connect+on has been made,the Water and Sewer Departmer�t shall be notified. it shail be unlawfui to caver
any conaecting[ine until an inspection has been made and such connection and the worracc inaderrt thereto has f�en approved by tfie City as a
prope�and witabte connection.
402.06 REFAiRS AMD MAIPI'f'EtYANCE TO CONNECTION
After the initial connection has been made to#he water service curb stop box or the sewer iead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,vwner,or occupa+rt or user af wch premises shatf be liabie for ail repairs
required to any water tine and sewer lines necessary#or connection aF the premises from the main to the prem'�ses. !f the property arner
requests maintenance service or repairs be pe�formed by the City,the property aarner shalt be charged for the cos�ts of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poiiry. it shatl be the responsibility of the applicarrt,
owner,occupant or user to perform standard mairrtenance aF the sewer senrice line from the premises to the main including debris deartng or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the la�d ar property, (Ref 638,1156,1191)