Meter Swap ` Request Number: 13146
Public Works Division
Service Request
Problem Address: 7533 4th St Requested By: Alyssa Ryan
Department: WATER Address: 7533 4th St
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-789-7041
Schedul�e��ate. 2017-02-07 Schedul ed'R me: 08:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-01-27
ACTION TAKEN: ,� "
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: � — � _ I � Completed by:
Hours � � � �-�
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�G437.UnivQrsitvi/�1ver��ae N� �,O a a� lJ
F�idleya!lr1N 55432
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��1it°�-- hereby authorize the�'rty af Fridley andjo�-its empioyees to slo what is necessary
re�lace the wa$er meter. 1�nderstand tha#the propea�ky owner is Eiable for the water line from the main to the premise and a!1 interior
plureabing. (Per City code 402.06� 1 also hold the C'rty+xf F�id(ey and/'rts employees harmless for eny tiamages tFaat may�ccur rrhile slving tF
a�veration. This#o'snclude,bufi no#limited to vaives,piping,walls,floors or the curb stoP box and service line. In understand 9 am also req
to obtain a permit prior to any iernrtc,�f necessary.
F9NA1 firtEi'ER READfNG(ald mefier� � l/ ��� ` V
lVame:�S�G�- ��--�/(� v1, Address ���� � 5�-.
Phone Numbes ��3 — ��q— l �I��Date � �! ��
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Signature Witness Signature
OLD IN1E�'�d�#� � � � ���
OLD READI41iG ���� �� U
RlE4VMETER# �� v �� � � �� �
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4Q2.5 PERNIIT FEE n �
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Prior to constructing or repair of any �f��`���� ��•
� T ich the
appiicafiion is made,the owner or co Av,, , /- ' �rovided
Chapter 11 of this Code. After such c ,`�..��',�,� �� � ,�V`��� � ,�Lzi�� rful to co
aray�onnecting line until an inspectic � ,C�,ty�Q
proper and suitabte conneetior�.
402.06 REPAlRS A1Nt3�VtA1NTENANCE
Ai�ter the initiaf connection has been e lead ha
been e�ctended to fihe property line for connection,the appiicarrt,owner,or accupan#ar user of such premises shall be liabie far a11 repairs
required ko any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the properiy owner shall be charged for fihe costs of the�naintenance and/
repairs,inciuding ne�essary strset repairs at a rate set annuaily by an adminiskrative policy. It shatl be the responsibility of the applicant,
owner,occupant or user to perform standard rnaintanance of the seuver service line from the premises to the main ancluding debris clearing oi
root cutting and to anaintain the water service�urb stop box for operability and at such height as wili ensure that it remains a6ove the finishec
grade of xhe�and or property_ �Ref 638,1156,1191d
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