Meter Swap � Request Number: 13432
Public Works Division
Service Request
Problem Address: 5928 Woody Ln Requested By: Ray Zurn
Department: WATER Address: No addresa provided
Problem/Issue: 1NSTALL AMR METER Phone Number: 612-655-1280
Scheduled te: 201 -16 � Sc`edaled 11me: 08:00:00
ACTION NEEDED:
Crextcd by: Wendy Hiatt Date Created: 2017-02-13
ACIION TAI�N:
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Status: 1n Progress Snbmitter Ha�Been r,
Contacted
Date Com�eted: Completed by:
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Z � ► � �
..��...� x+�p.�ue r.pea�c�ea.
5431 i�aadv��-slty�J�v�na�e 6Y� ��� ��� � j
Fridley,M!N 554.32 /
, 763-5�'2-3565 C �) � �
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4 9!"�� her�by authorize the�ity of Fa-ic{ley and/or its empioyees to do what 6s necessary to
replace the water meter. !understand that�he propexty nwner 9s liabie for#he wrater line feom 2he main to the premise and all irrterior
Piuerebing• (Per City socle R02.06$ i a{so�Oold the�ty cvF Fridley and/'rts empioyees harmless#or any damages that may occur while doing this
operation. This to 9nclude,but not 9im6ted 3o valves,�iping,walls,#loors or the curb stop box and seniece line. !n understand 1 am also requir
to obtain a permit prior to any�rordc,�f necessary.
F1tYAL METER READfAiG�oid meterj
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fYame: �`�� Address � V h`
Phone Number _5�� l—�Ip c����� Date ���p 1�
Signature Witness Signature
OL[}11/{ETER# �c�� ���
OLD READING � "� �� � � .
NEW METER#�V blJ � lJ J L—
RIEW READI111G �
�RT# 1Ig1 ��� 2
FRIDCEY�i"1"Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
aaw�r�visrR,ano�v
(Ref Ord No 113,464,565,566,629,63$,662,922,988,1144,1I56,i191)
4Q2.5 AERMt7'FEE
Prior to constructing or repair uf any water vf sewer tine connecting the existing municipal system and asry fiouse or bu�ding for which tfie
app4icafiion is macie,the owner or corrtractor shall be required to obtaiss a permit fQr such connection,and shali pay a permit fee as provided in�
Chapter 11 of thts Code. After such canaection has been made,the Water and Sewer Departmern shall be notfEied. it shaii be un(awfut to cove
any cannecting line urrtil an inspection has been made and such connection and the wor&inaderrt thereto has been approred py the City as a
proper and sui#abie connectioo.
402.06 REPAiRS AND MAIAITEfMANCE TQ COtYHECTtON
After the initiat connection has been made ta#he water service curb stop box or the sewer lead at the propertY line or a water s�rvice lead has
been exfiended to fihe property fine for connection,the appiicarit,owner.or occupant or usec of wch premises sf�al{be liabie for ail repairs
required to any water line and sewer lirtes necessary#or connectian of the premises from the main fio the premises. tf the property 4wner
requests main#enaace service or repairs be performed by the C'rty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuatfy by an administrative poPry. it shaq be the responsibility of the applicar�t,
owner,occuparrt or user to perform standard mairrtenance of the sewer service iine from the premises to the main e�cludis�g debris dearing or
root cufiting and to mairnain the water service curb stop box for opera6ility and at sucfi heigtrt as wiil ensure that it remains above the finished
grade aF the land or property. {Ref 638,1156,1191)