Meter Swap , � Request Number: 13376
Public Works Division
Service Request
Problem Address: 5577 Regis Tr Requested By: Robert Mozdin
Dep�rtment: WATER Addreaa: No�ess provided
Problemllsaue: INSTALL AMR METER Phone Nnmber: 612-384-5637
Sched�iled Date: 2017-02- � Schedulei 1ime: 10:30:0�
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ACTION NEEDED:
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Createdby: We�.lyHiatt DateCreated: 201?-02-09 �'�"��
AC�ION TAI�N:
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Status: In Progress Submitter Hna Besg r,
Coatacted
Date Completed: �a..�"�� � Completed by:��` _ �
Honrs <<''
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�i/ate��e�sar�aYeen�
�6437.ilniv�c-sitg/1�1ver,ue 6V� � ��
" Fridley,MN 55432 � �
° 753-�72-3566 �
� ,d'A°� her�by auChorize#he City af Fridley and�'or its empioyees ta sto what is necessary ta
re�lace the water meter. 1 vnderstand tF►at�he propea'iy vwner as liabte for the sera#er line from 4he main to the premise and alt is�terior
plurribing. (Per City�ode 402.06� i adso hold the C'sty af F�ediey andji#s emptoyees harmless#or eny slamages that may�ccvr while doing this
operatian. This#o include,bufi no#limi#ed 3o valves,piping,walls,floors mr the curb sto�k�,ox a,nd service line. In understand 1 am aiso requi�
to ab#ain a permifi priar to any�varrlcc,"sf necessaey.
a� $ - `� � `� � � � - 03
Flf�IAL METER READiNG�old meter) �v � J �� �
Name: �V`�r � '`��ll�4�1/� Address ��7 ` ! K--�Z.i� + � -
Phorse Number lY��-"' �U� '—�'�d� Date 1'��j�'" i 7 .
Signature W"rtness Signafiurs '`�
t31.C�METER# �r/ �� ��v
OLD READItYG �������
NEW METER# � v �` �
NEW READIRIG �
�RT# �t � a l �� �-t� �
FRIDLEY CtTY CADE
CF#APTER 402.WA7ER,S70RAlt WATER AND SANITARY SEWER
ADMlflt15TRATlON
{Ref Ord No 113,464,565,566,629,638,662,922,988,1144,I1S6,i191}
40Z.5 AERMIT FEE
Prior to constructing ur repair of any water aF sewer itne connecting the exis#ing muniapai system ant(arry house oc buitdir�far which the
appfication is made,the owner or cor�traacto�shatf be required to obtain a permit for such connection,and staall pay a permiC fee as provided in
Chaptsr 11 of this Code. After such connection has been made,the Watec and Sewer Departmc�nt shaQ be aot#ied. it shaf!be unfawful to cove
any connecting line urrti!an inspection has been made and such connecCion and the worlc inader►t thereto fias been approved try the City as a
proper and sui#abte connection.
402.06 REPAiRS ARID lYIAlWTENAf110E TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water serrice lead has
been extended#o the property line fetr cannection,the appiicarrt,owner,or accuparrt os user af such premises shal!6e IiaWe for ail repairs
required to any water t�ne and searer lines�ecessary#or connection of the premises from the main to the premises. tf tt�e property owner
reqaes#s mairrtenance service or vepairs be performed by t6e City,ttae property awrter shafi be charged for#he r.oses of the mairrterrar�andJtn
repairs,including necessary street repairs at a rate set annualiy by an administra#ive pvl'sry. tt shal!be the responsibifity of the appl'�carrt,
owner,occuparit ar user to perform standard mairrtenance of the sewer service line from the premises to the main induding tlebris dearing or
roo#cutting and to mainrtain the water service curb sfiop boK for operabitity and at such height as wtli ensure that it remairis above the finished
grade of the la�d or property. �Ref 638,1156,1192j