Meter Swap t
� Request Number: 16463
Public Works Division
Service Request
Problem Address: 1558 N Oberlin Circle Requested By: Ashok Singh
Department: WA1ER Address: No address provided
ProblemlIssue: INSTALL AMR.METER Phone Number: 763-571-8605
ScheduledDate: 2017-07-2? Sc uledTime: 09:00:00
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ACTIQI�I�1EEDED:
Created by: Wendy Hiatt Date Created: 2017-07-25
ACTION TAI�N:
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Status: In Progress 5n6mitter Has Been r
Contacted
Date Completed: ��� Completed by: � �
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Fr6dley,MN 55432
763-572-3566
iJwe hereby a�athorize the City of Fridley artd/or i#s em�byees to do avhat is necessary to
repiace the water meter. i understand tfiat the property owner is lia6te fnr#he water line from#fie main to the premise and aU inte�ior
pfumbing. (Per�C'tty code 402A6J 4 also hold the�ity af Fridley andrts employees harmless#or arry dasr�ages that may occur while doing this
operation. This to include,but not limited to vaives,piping,wa{ts,floors or the curb stop box and senrice li�e. in understand{am atso require
to abtain a permit praav to any work,'rf necessary.
FBNAI METEIt READtNG(oid meter} � � � 1 � � V
Name• ��4�' S\ � Address 1 �l �� �" ' � ���1 h v1,f�U�
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Phone Number�" � p�_ �' pC, �
�ignatur Witness Signatu:e �''—�
OLD METER
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OLD READING_ ` � �' ! � ` v
NEW METER# ` ` ��� �J �
NE�READING �
E�T#_ ���1 V�Q ��
FRIDLEY CITY CODE
CHAtr['ER 402.WATER,STORM WATER AND SAN4TARY SEWER
ADMIAtISTRAi'IQN
(�e#Ord No 113,464,565,566,629,638,662,922,988,114�t,11S6,1191j
402.5 PERMtT FEE
Prior to constructing ar repair of arry water af sewer iine connecting the existing municTpal system and asry house or buitding for which the
application is made,the owner or com;ractor shail be rec{uired to obtain a permifi for such connection,and shatt pay a permit fee as prorridecf in
Chapter 11 of�his Code. After such connection has 6een made,the Water and Sewer Departmerrt shail be not'rfieti. �t shatt be unlawfu{to cover
any connecting iine until an inspection has been made and such connedian and the work inciderrt thereto has been approved t�y t6e City as e
proper artd suitabie connectioa.
402.06 REPAIRS AA{D MAIN'i'ENANCE TO CONNECTIO!►1
After t(1e initiai connection has been made to the water service curb stup box or the sewer lead at the property line or a water service lead has
been extended to the property liae for connecEion,the applicant,owner,or occupar�t ar user aF such premises shafl be liable for ail repairs
required to any rvater line and sewer lines necessary#or connectiort of the premises from the main to the premises. if the gro�rty omrner
rec{uests maintenance service or repairs be perFormed hy the City,the property owner shall be charged for the costs of i�e maintenance and/ar
reparrs.including necessary street repairs at a rate set annually by an administratsve policy. It shail be ti�e responsibiti#y of#he applicar�t,
owner,occupan#or user#o perform standard mairrtenance of the sewer service line from the premises to tf►e main inciuding debris ciearing or
root cutting and to maintain the water senrice curb stop hox for operabitity and at such height as will ensure that it rema+ns above the finished
grade af the tand or property. (Ref 638,1155,1191p