Meter Swap . Request Numb►er: 13563
PubUc works Division
Service Request
Problem Address: 5876 Stinson B1Ki Requested By: Betty Hults
Department: WATER Addresa: No address provided
ProMem/Isa�: INSTALL AMR METER Phone Nnmber: 763-506-0022
Schednled e: 20 -02-22 � Sc�edaled Tlme: 07:30:00
Z �; 3a
AC7I4N NEEDED:
Created by: Wendy Hiatt Date Cres�ed: 2017-02-17
ACTION TAI�T:
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Statns: In Pro ss Sabmitter Has Been r
� Coats�ted
DateCompleted: �� 1 �� �� Completedby
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64�1 l9niversit+�e4venu�AiE � � _� 7(� l
Fridte}/,MN 55432 � J�
763-572-3565 ���i"'�� � ��,�.`� (� � +�
�/�� her�hy authorize the City o#Fridley andfor its empioyees to¢!o what is necessary to
replace#he water meter. 1 understand that the prapea�ty owner'ss liab�e for the water line from the main ta the premise and a(I is�terior
pPurrrbing. (Per Crty sosle 402.06) 1 also hold the�ty of�ridiey and/its employees harmless for any damages tt�at may occur wt�ile doing this
o�eration. This to 3nclude,but nat limited to valves,piping,waI(s,floors or the turb stop box and service line. !n understand 1 am also requir
#o obtain a germit prias to arry�rorlc,if necessary,
FiNAL METER READiAiG{akt meter} O�"���, V
luame: �"7 Address J U � � ,�7'"r r�.�JV�_ �7�1/�
Phone lVumber � d` StJtp �vQ�2 Uate �'�I'�'� ��
Signature Witness Signature �
o�D���R� c��gg ���
OLQ READtl�IG__D�v i � J [ Q
NEW MET€R# _ � ���/�� �
NEW READNVG �✓
ERT# `1 � $ 1 t�33 8 �
FRIDLEI(CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMI1�tiSTRATiON
�Ref Ord No I13,464,565,a66,6Z9,638,662,922,988,I144,1156,i191)
4UZ.S FEttMiT FEE
Prior to constructie�g or repa�r af ariy water vf sewer tane cannecting the exis#ing municipat system and am�house or buiWingfor which the
appiication is made,the owner or cor�cactor shai!be required to obtain a permit fos such connection,and shali p�ar a permitfee as provided in•
Chapter 11 of this Code. After such connection has been made,the bVater aad Sewer Departmern shali be nort�Eied. tt shali 1�uniawfui to cove
arsy connecting tine until an inspection has been made and such connection and the worbC inciderrt thereto has been approved by the C'rty as a
proper and wi�table connection.
�02.05 REPA�iRS AND lklAitYTEtYANCE TO CONiriECTiON
After Che in'rtttaf connectiort has been made to the water service curb stop box or the sewer lead at fihe property iine or a water senrice lead Fias
been extepded to the pro�rerty line for connedaon,the appiicarrt,ownet,or accupar�t or aser of such premises shait be iiaWe fw all repairs
required ta any water line and sewer lines necessary for connection of the premises fmm the main to the premises. tf 1�e property owner
reques#s maimtenance service or repairs be performed by the C�ty,the properl.y owner shatl be charged for the costs af the rnai»terrarrce and/ar
repairs,including ner.essary street repairs at a rate�t annually by an administrative poYcy. It shall be the respansi6ilit�o#the appiicartC,
owner,occupar�t or user to perform standard mairrtenance of the sewer service fine from the premises to the main 3ncludi�debiis dearing or
root cutting and to maintain the water service surb stop box fo�operabitity and at such height as wiii ensure that it remair�above the fintsfted
grade of the iand or property. (Ref 638,1155,1191)