Meter Swap �
, � Request Number: 14308
Public Works Division
Service Request
________ ______.___._.__.__—._ . --._`_.------_------
Problem Address: 5164 '� Requeated By: Cy�ia A�nderson
Departmeat: WATER Address: No address provi�d
Problem/Isaue: INSTALL AMR METER Phone Number: 763-586-0877
Scheduled Date: 2017-Q3-30 Scheduled 1ime: 09:00:�0
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"���. ACIION NEEDED:
Create�1ry: �th Kon�ick Date Crented: 2017-03-24
ACTION TAKEN:
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5tatus: In Progress Submitter Has Been r ����
Co�acted ��
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Date Compteted: � ,,,,, �,,. �� Completed by: ��` �' ,
Hours V��� �
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� City of Fridfey �j� .�
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Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�f We hereby authorize the City of Fridiey and/or its employees to do what is netessary to
replace the water meter. 1 understand that the p�operty ovrner is liable for the water line from the main to the premise and all i�rterior
ptumbing. (Per City code 402.06j 1 also hold the City of Fridley andJtts employees harmless for any damages that may oaur while doing this
operation. This to inctude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior ta any work,if necessary.
FINAL METER READING(old meter) �����v �„��„�,t,e�
Cy�c�,�- ���- s)��f �'v►��' �w�5
Name• � Address
Phone Number +�3 � ���� v�G Date t 1 '��J 4 (
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Signature Witness Signature
OLD METER# ��� �lJ�
OLD READING � 6��" J �v
NEW METER# � ��O�v��
NEW READING v
ERT# � �� � � 1 �Y�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISfRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of ar�y water of sewer line connecting the existing munkipal system and any house or building for whkfi the
application is made,the owner or contractor shaN be required to obtain a permit for such wnnection,and shal!pay a permit fee as pro�nded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any wnnecting line untii an inspection has been made and such connedion and the work incident thereto has been approved by the C'it�r as a
proper and suitable co�nection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initlal co�nection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line tor connection,the applipnt,owner,or�pant or user af such premises shall be liable for all repain
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. if the proparty oMrner
requests maintenance sErvice or repairs be performed by the City,tfie property owner shall be charged for tbe costs of the matMenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative po{iry. It shall be the responsibility of the appliqM,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure ihat it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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