Meter Swap V
Request Number: 16441
Public works Division
Service Request
Problem Address: 5740 Polk St Requested By: Brady Vandenberg
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-240-867'7
Scheduted Date: 201 -0'7- 6 -j-.� ,�Sc�duled 13me: 08:30:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Date Cre�ted: 201'7-07-24
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ACTION TAI�N: �
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Status: 1n Progress Snbmitter Has Been r,
Contacted
Date Completed: ��� GI— I� Completed by:
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Ci#y of Frid6ey � l.j �j�y�
* Water Departrnent -�f t CJ
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize tfie City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water tine from the main to the premise and ali ir�terior
piumbing. (Per City code 4U2.06) f also hold tfie�ty of Fridley and/its employees harmless for any damages that may ocxur while doing this
operation. This to include,but not limited to valves,piping,walis.floors or the curb stop box and senrice line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FlNAL METER READING(oid meterj � � � ✓ �� �
Name: �r`^.�.�7 �A.�U�j�V� `j Address� � l Z"�O pG `1� �
Phone Number `�« V o ���fJ� Date r ^ �`� � � 1
�Signature �.��yre
OLDMETER# ��`�' v�� � v
OLD READING ���""��� �
NEW METER# ���� �� 1 C�
PIEW READiNG O
ERT# _ � � t � v � ��
FRtDLEY CITY CODE
CHAPTER 402.WATER,S'fQRM WATER AND SANITARY SEWER
ADMIWISTRATiON
{Ref Ord No 113,4fi4,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of arry water of sewer lirte connecti�g the existing municlpal system and any house or building for whith the
appticatian is made,the owner or coritractor shall be required to obtain a permit for such connection,and shafl pay a permit fee as provided in
Chapter 11 of this Code. After such connectlon has been made,the 1Nater and Sewer Departmerrt shall be aotified. it shat{be untawfui to cover
any connecting line until an inspection has been made and such connection and the work incident theceto has been approved by�e City as a
proper and wibble connection.
40Z.06 REPAtRS AND MAfNTENANCE TO CONNECTION
After the initia(connection has been made to the water service curb stop box or the sewer lead at the praperty line or a water service(ead has
been extended ta the property line for connection,the applicant,owner,or occuparit or user of such premises shall be liabie frn aN rrepairs
required to any water line and sewer lines necessary for coanection af the premises ftom the main to the premises. tf the property oarner
requests maintenance service or repairs be perFormed by the City,the property owner shaii be charged fo�the costs of the mairrtenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. Ft shall be the respor�sibitity oF the applicartt,
owner,occupant or user to perform standard maintena�ce of the sewer service line from the premises to the main including debris clearing or
root cutting and�o mai+�tain the water senrice curb stop box for operabil"rty and at such height as wili ensure that it remai�s above the finished
grade af the land or property. (Ref 638,1156,1191)
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