Meter Swap ,..
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= Request Number: 12688
Pubhc works Division
Service Reqt�est
Problem Address: 7549 4th St Requested By: Wanda Savig
Deputme�: WATER Address: No ad�ess pcovided
Problem/�ssue: IN5TALL AMR METER Phone Number: 612-968-1333
5cheduled Date: 2017-01-13 � Sc�d�ised 11a�e: 10:00;QQ _
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ACIIOl�NEEDED:
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Crexted by: Wendy Hi�t Date Created: 2�17-01-03
AC"IION TAI�N:
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Stat�: In Progr¢ss Submitter Hs�s Been �
Cont�ted
Datc Completed: Completed by:
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City of Fridley
Water Dep�artment ��o a � /
, 6431 Universi Avenue NE /
. Fridley,MN 55432 ��
763-572-3566 ���,.��'vd������----
�l�e fiereby authorize the City of Fridley andjor its empfoyees ta do what is necessary to
, �eplace the water meter. 1 understand that the property owner is liab{e for the water line from the main to the premise and ail interior
piumbing. {Per City code 402.06) i aiso hold the City of Fridley andjits employees harmless for any damages that may occur while doing this
operatson. This to include,but not limited to valves,piping,walis,flQoe�s or the curb s#op box and service iine. In understand i am also required
to obtain a permit prior to any wark,if necessary.
FINAL METER READtNG(old meter) \ i7`�""'"
Name: �'�(hV`t��'� ��'`V►r'1 Address � v l 1 � ��c
Phone Number VL����" L�� — �J�� pate--- �"'� ��� ��
----.-----
���^�re Witness Signawre
OLD METER#_(-I � � � V� J
OLD REA�tNG__ � � t/`�� ��
NEW METER#_ �� �t �� `� �
NEW READING �
ERT# � ��� �'� 1�
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FRIDLEY CITII CODE
CHAPTER 402,WATER,S70RM WATER AND SANITARY SEWER
ADMINiSl'RA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the extsting municipai system and arry house or buildt�for which the
application is made,the owner or contractor shali be requi�ed to obtain a permit for such connection,and shall pay a permit fee as proaided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Repartment shafl be notified. it shaii he unlawful to cQver
any connecting line until an inspection has been made and such connection and the worlc incitlerrt there#o has been approved Iry the Cily as a
proper and suitable wnnection.
4U2.06 REPAIRS AND MAlNTENANCE TO CONNECTION
After the initial conneckion has been made to the water service curb stop box or the sewer{ead at the property line or a water service lead has
been eactended to the property line for connection,ihe appqcaM,awner,or accuparrt or user of such premisEs shalt be liable for a8 repairs
required to any water line and sewer lines necessary for conrtection of the premises from the main to the premises. if the property owner
requests mair�tenance service os repairs be performed by the City,the property owner shail be charged for tbe�af the mairrtenance and/or
repairs,includtng necessary street repairs at e rate set annua{ly by an administrative policy. It shalt be the responsibiiity of the applica�tt,
owner,occupant or user to perform standard maimenance of the sewer service line from the premises to the main fncluding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that tt remairu above the flnished
grade of the(and or property. (Ref 638,1156,1191)