Meter Swap 4 � � Request Number: 13572
Public Works Division
Service Request
Problem Addreas: 1436 Royal Oak Ct Itequested By: Roger
DepArtment: WATER Addresa: No address provided
Problem/Iss�: INSTALL AMR METER Phone Number: 763-586-9791
Sche�ded Date: 2017- � 3c�ednled 11me: O1:UU:00
�
A�TIOA1 NEEDED:
CrexEed by: Wex�dy Hi�t DaEe Created: 2017-02 21
ACTIO T.4i�N:
..._............__ ._�L� . ___..._.... .
Statns: in Progress �bmitter Hu Been �.,
Co�acted
D�te Com�eted: Completed by:
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6431 i9a�av�e�sit�Av��acae N�
�ritlley, 11t!!V �54�2
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1/71°� hersi�y authorize ttae�ity of Fridley andJor its empioyees to a!o what as necessary t
, replace the water rneter. 1 vnderstand ti�a#the propea#y owner ss liabte for the vvater line from the maia to the premise and ail'enterior
pluerabing. (Per C'rty code 4p2,p6� a also hold the City of Fridley and/'rts emploqees harmless for ar�p�lamages that may occur rrhile doing thi
operation. This�0 9nclude,but not 9imi#ed io valves,piping,walls,floors or the curb stop box and service lir�e. On unde d!am also requ
to obtain a perm"rt priar to any rror9c,if necessary.
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Alame: ui� Rddress �+ �� � W (�.+
Phone Number ���17�g,� �' ?j� " t�
Signature NC�iness Sigssature
o�D ��-�R� °�� I 1 g �I ��
OCD READtfYG����"� f.���
NEW METER# "��V1� �� 1 l
NEW READING O
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FRIDLEY C)Tl CODE
CHAPT'EK 402.WATER,STORM WATER AND SANITARY SEWER
ADMlAltS7'RATION
(Ref Ord No 133,4&4,565,566,629,638,66Z,922,988,1144,i156,1191}
402.5 PERMIT FEE
Prior to constructing ar repair o#any water of sewer line connecting the existing municipaf system and arry house or building for which the
application is made,the owner or cor�tractor sha(I be required to abtain a permit for such connettion,and shall pay a permit fee as provided ii
Chapter 11 af this Cade, After such corinection has iaeen made,the Water and Sewer Departmerit shail be notified. tt shafi be unfaxrful to coa
aray connecting line urrtil an inspection has been made and such connectivn and the wo�k inaderrt thereto has been approved by the City as a
proper and su�tabte connection.
A02.05 REPAIRS�(D�TA1{V1'Ef�((pNCE TQ COAiNECTtON
After the initiaf co�nection has tseen made#o the water service curb stop box or the sewer tead at the property line or a water serv�e lead has
been extended to fihe property line for connecGion,the appiiprrt,owner,or occuparrt or user of such premises sF�ail be liat�e for a11 repairs
required to any water line and sewer lines necessary#or connection of the premises fram the main to the premises. if the property owner
requests mairrtenance service or repairs 6e performed by the C'�ty,the property owner shali be c(�arged for the sosts of the mairitenance and/o
repairs,including necessary street�epairs at a rate set annuaity by an administrative pol�cy. Ft shal!be the responsi6ility o�f the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main irscluding debris dearing or
root catting and to maintain the water service curb stop box for operabil'rty and afi such 6eight as wili ensure that it remains above fihe finished
grade of#he land or property. (Ref 638,1156,1191j