Meter Swap Request Number: 13464
Public Works Division
Service Request
Problem Address: 5730 Polk St Requested By: N�y Jorgeffion
DepArtme�: WA'IER Addresa: No address provided
Problem/Issue: INSTALL AMR METER P�one Number: 612-749-6058
Sc6eduied Date: 2017-02-22 Sc�edaled 1lme: 01:00:00
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ACTiON NEEDED: �
Created by: WendyHiatt D�te Cre�ed: 2U17-02-14
ACIION TAi�N:
1��►- Afi'��
Status: In Progress 5nbmitter H�e Been � ,
Contuted
Date Completed: Completed by:
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5437.l�niversityr J�#ven�e PI� �� �
Fridlsy,MN 554.32 �` �( �
< 753-572-3555 �r C� ����`7 7, � -�'�) ,��
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Sf�� her�by authorize#he�ity�#�ridley and/or its empioyees to do what ds necessary to
rep{ace the water rneter. 1 understand that�he proPerty owner is►iable fot the water I�ne#rom qhe main to the Premise a�d atl interios
plumbing. (Per Ciry code�02.06� 1 alsa hoid the City of Fridley and/'rts employees harmless for any damages that may ocaar while doing thss
operatian. This#o tnclude,but not lim+#ed�o valves,pipin;g,waits,floors or the curb stop box and service line. fn�understand I am also requir
to obtain a permit prior to any wor�c,�f necessary.
FINAL R READING Zokt mefier) ��� � � �
Hame•��f v`J"�i� � t�,j"� (S � k
Address_�� �/�/ � �
Pltone�iumber � Date �i' V�� ��
��� �` Wiiness Signaluce
OtD METER# �Z � � � sC��J
OLD R�ADtNG_^__s__��� � JV
NEW METER#__ 1�� i�✓ � � 3 �
NEW READfIYG �
ERT# � I � � � 1� �
FRIDLEY CITII CODE
CHAPTER 402.WATER,SCORM WATER AND SANITARY SEWER
ADMiNISTRAl7QN
(Ref Ord NO 133,464,565,�66,629,638,56Z,922,988,I144,I156,t191)
402.5 PERS1Afi'FEE
Prior to constructing or repair aF any water of sewer tine connecting the euisting municipa(system and arry house or buiidir�for�rhich the
appiication ts made,the owner or corrtractor shalf be required to obtain a permifi for such cormection,and sFiali pay a permltfee as provided sn-
Chapter 11 ofi this Code. After such connection has been made,the Water and Sewer Departmer�t shai(be no#fied. it shatl be untawful to cove
any connecting line unt�7 an ir�spection has been made and such connection and the Nrork inaderrt there�o has been epproved Iry the Citq as a
proper and suifiabte conn,ection.
402.05 REPAfRS AND MA(NTEMANCE 70 COIdNECTiON
After the initia!connection has been made to the water service curb stop 6ox or the sewer lead at the property line or a water sesvice iead i�as
been extended to�the property line for connedion,the applicarrt,owner,or occupasrt or user af such premises shalf be Itabie for a11 repafrs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property cwner
requests maintenance service or repairs tse perFormed by the C'rty,the property owrner shali be charged for the cosCs a^f the mair►tenan�and/or
repairs,indud�ng necessary sireet repairs at a rafie set annually by an administrat(ve poliry. Ft shall be t�e responsibitity af the applicarrt,
owner,occupant or user to perform standarcf mair�tenance of the sewer service line from the prem+ses to fihe main inciuding debris dearing or
root cutting and to maiatain the water service curb stop box for operability and at such height as wiii ensure that it remairis aEbve the f(nished
grade of#he land or praperty. {Ref 638,1156,1191j