Meter Swap Request Number: 13491
Public works Division
Service Rec�st
P�_ n Address: 5576 Regis Dr Reqeiested By: G�etc}�nNelson
Department: WATER Addreas: No address provided
Problem/Issue: 1NSTALL AMR METER Phone Number: 612-269-2102
Schednle 2017-02-17 5c�edule�1lme: 07:30:00
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ACIION NEEDED:
C'Yeated by: Wendy Hiatt Date Cre�ed: 2017-02-i S
s.
ACIION TAKEN:
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Status: In Progress 5abmitter Has Beee r,
Coatacted
Date Completed: �_ �"'�` I—� Completed by: ��ke
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5431 lDniversitp�Aversaae NE � � � ` 1 �
Fridley,MPl 5543Z �� �y'- �
753-572-3566 � � � _� (7t� � � I� ��o � �
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° !/ave her�by authorize the£'rty af Fridley and/or its empioyees to do arhat is necessary to
replace the water meter, i understand tfiat the propee�kty owner is liable for the water line#rom the main to the premise and a{I irnerior
ptumbing. (Per Crty sode 402.06) i also hold the C'rty�f Fridley and/Fts empioyees harm{ess for arry�lamages that may occur while doing this
operation. This#o include,bufi not limited�o valves,p9ping,walls,floors or Lhe curb sCop box and service line. In understand!am also sequis
to obtain a germifi pcio�r to any�rorlc,'sf necessary.
FIiHAL METER READIidG(oid meter) ✓��D�CT�/
Name: �7l Y`� ��� ,�+'�.��V'L� Address ����P �4 1f S �Y'.
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Phone Number tia.�Z ��� "' �d� p� o"�"� y� � ��
S+gnature r'�
W[tness Signatisre
OtD MET€R# L�o-�/ GV G � �
OLD READtNG �t/ �OS�
tVEW METER# ���d � 7CQ d
NE1N READIIVG v
ERT# (� � �pc ��Q �, lU ,
FRIDLEY C1TY CI�DE
CHAPTER 402.WATER,STORM WATER A�WD SANRARY SEWER
ADMIAIISTRATION
(Ref Ord No 113,4G4,565,566,6Z9,638,662,922,988,1144,1156,i191j
;
4U2.5 FERMIT FEE
Prior to constructing vr repair of any water af sewer line connecting the eacisting muniapaf system and arry house or buiidir�for wF�icFt th�
applicafiion is made,the owner or comracto�shal(be required to obt�ain a permifi for such connection,and shall pay a permii fee as provided in�
Chairter 11 of tt�is Code. After sucfi connection has been made,the Water and Sewe�Departmesrt shall be nat�fied, it sfiait be unfawfui to co�
any connecting tine untii an inspection has been made and such cflnnection and the work inciderrt ihereto has been approved by the Gty as a
proper and witable connection.
4p2.06 REPAIRS AAID ArtA1NTEfYANCE T�COMNECTlON
After the inifiiat connection has been made to the water service cu�b stop box or the sewer lead at the property iine or a water service lead has
been extended#o fihe property line for connectian,tfie appiicarrt,owner,or accuparrt or user of such premises shatt ix Iiable forr af�repairs
required tv any water fine and sewer lines necessary for connection of the premises from the main to tfie premises. t�the property owner
requesks maintenance serxice or repairs be perfarmed by the City,the property owner shaU be charged for#he costs of fihe mairttenance anc�/or
repairs,inciuding necessary street repairs at a rate set annualiy by an administrative palicy, It shaii be the sesponsibil'rty oFthe applicant,
owner,occuparrt or user to perform srandard mairnenance of the sewer service line from the premises to the main including debris deart�g or
root�utting and to mairrtain#he water senrice curb stop box for operability and at such heighC as will ensure that it remains above#he fin�sS�ed
grade of the laad or property. �Refi 638,1156,1191)