Meter Swap 7/27/17 ,
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Request Number: 16465
Public Works I?ivision
Service Request
. Problem Address: 1450 Rice Creek Rd Requested By: Beth Olson
De �p�s WA'IER Address: No address provi�d
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Proble'mlIssue: INSTALL AMR METER Phone Number: 763-229-4217
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Sched d Date: 2017-0 -27 � Schednled 13me: I 1:00:00
ACTiON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-25
ACTION TAI�N: �
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by: �
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�431l�niversityl�lvenue IVE
Fr6dley,MIV 55432
753-572-3566
e/we hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
repiace the aeater meter. !understand that the groperty owner is liabie for the water line from the main to#he premise and all iriterior
plambing. (Per�City code 402.06) I also hoid the C�ty of Fridley and�ts employees harmless for arry damages tfiat�nay occur while doing this
�peration. This to inc{ude,but not iimited to vafves,pipin�walis,floors or the curb stap box and senrice line. in understand i am also require
to obtain a permit prior to any work,if necessary,
F9P1AL METER READtNG(old meter) V"' � � V! �� V
Name: !7�J`"�1 d��1 Address ���� ����' l��U� � �-
Phone Number ��D�l— � { `"��� p� ���'� -��,�
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�ignature Witrtess Signature
OLD METER# �� � �� � 4 �
o�o R��'�G � � �C� 5 � d
NEW METER# ��35 5��a
NE1N R�ADlNG O
E�tT# �""�� /�� �
IFRIDLEY CITf CODE
CHA(�TER 402.WATER,STORM WA►TER AND SANITARY SEWER
ADMlRIISTRAT{ON
(Ref Ord P[o 113,464,565,566,629,638,662,922,988,1144,1156,119I)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa!system and am/house or bui4ding for whicfi the
application is made,the owner or contractor sha(I be required to obtain a permit for wch connection,and shali pay a permit fee as provid�d in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departrnerrt shalt be notified. It sfiaN be unlawfuf to cove�
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by ffie Crty as a
proper and suitahfe connection.
402.06 REPAIRS AND MAIkVTEPtA1VCE TO CONNECTIOM
After the initial co�nection has been rriade to the water service curb stop 6ox or the sewer lead at the property IPne or a arater senrice iead has
been exteoded to the property line for connection,the applicar�t,owner,ar occuparrt ar user of such premises shall be liable for all repairs
required to any walter line and sewer lines necessary#or connectiort of the premises from the main to the premises, tf the groperty owc�er
requests mair�tenance service or repairs be performed by the Cifij,the property owner shall be charged for the costs of t�he mair�tenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative palicy. !t shalt be tEtie respar�sibil�ty o�F the appiicam,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curh stop box for vperabitity and at such height as wifl ensure that it remains above the finished
grade of the land or property_ (Ref 638,1156,1191)
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