Meter Swap � ' Request Number: 13052
Public Works Division
Service Request
Problem Address: 1442 Royal Oak Ct Requested By: Jean Seward
Departme�: WATER Addresa: No a�ress provi�d
Problem/lssue: INSTALL AMR METER Phone Nnmber: 763-572-2344
Scdednled Date: 2017-01-26 � Sc6eduled'Ilme: 11:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-24
ACITON T .
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Statna: In Pro ss Snbmitter Hns Been r,
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Date Completed: Compteted by:
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Wate��epartrnent -,
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' 9/we hereby authorize#he�iiy af Fri,dley andjor its employees to do what 6s necessary to
replace the water meter. 1 understand that the properky otivner 3s tiab4e for the water line from the main to the premise and a!1 interior
plumbing. {Per City coale 402.06) i also hold the C'�y of Fridley andi'rts empioyees harmiess#or any damages that may occur while doing this
operation. This to include,but not limited to valves,p�pin�walis,floors or#he curb stop box and service line. In understand!am also require�
to obtain a perm'rt prior ta�ny�ror4c,if necessary.
FINAL METER READING(old meterj f ��� ��r'����
lVame:,�e�,�/�. �Z°J���� Address�_ 1 � I '+ �"y D� ��
Phone Namber��� ���� Date �� �Y + f �
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Signature �--- Wiiness Signature
OLD METER# �"�� �� �4� 2-�
OLD READING '� �� ��
{VEW METER#�� V`�� +�
NEW READfIVG �
ERT# ��� �CJ D 1 ��
FR{DLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAR1f 5EWER
ADMIAItSTRATIO'N
(Ref Ord Aio 113,461t,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to construcCing or repair of any water of sewer line connecting the existing municipal system and arry house or buitding for which the.
application is made,the owner or cor�tractor shail be required to abtain a permit for such connection,and shali pay a permit fee as previded irr
Chapter 11 of this Code. After such connection fias been made,the Water and Sewer DeparCmerrt shall be not�Fied. R shall be untawful to c�over
any connecting line urrtil an impectivn has been made and such connection and the worlc inciderrt thereto has beer�approved Iry the City as a
proper and suitabte connection.
402.06 REPAiRS AIND MAINTENANCE TO CONAiEC170N
After the initial connection fias been made to the water seroice curb stop box or the sewer lead at the property I(ne w a water serrice lead has
been extended to the property line for connection,the appiicarrt,ownes,or occupam or user o#such premises shail be liabie for ail repairs
required to any water line and sewer li�es necessary for connection oiF the premises from the main to the premises. 1f the property owner
requests maintenance ses�vice or repairs be performed by the�ty,the property owner shail be charged for the sosts af the mai�rtenance and/or
repairs,including necessary street repairs at a rate set annuaAy by an administrative�aliry. it shatl be the responsbility of the appliprrt,
owner,occupant or user to perform standard maintenance of the sewer service tirse from the premises to the main induding debris dearing or
root cutting and to mairttain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1155,1191)