Meter Swap Request Number: 12965
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Pub�ic wo�s Division
Service Request
PraWem Address: 7501 4th Street Requested By: Jason Gannon
Depnrtme�: WATER Address• 7501 4th St
Fridley,MN SS432
Problem/Issue: INSTAI.L AMR METER Phone Nnmber. 612-384-4108
Sc6eduled Date: 2017-01-26 Schedaled 11me: 08:00:00
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ACIION NEEDED:AMR
Created by: Beth Kondrick Date Cre�ed: 2017-01-19
ACTi0A1 TAI�N:
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Statos: In Progress Snlimitter Has Been r
Cont�ted
Date Completeds Completed by:
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LVater�epartrnent 3O2 — J•��Q�! '�� _ d�,
5431 ilniversi�ty/Avenue NE
�ridtey,MAl 55432
753-572-3566 �� � ! � �
�/'"�e her�by authorize the C'rty afi PrKiley and/or its empioyees to sto what is necessary to
replace#he water�neter. �understand that#he property owner is liable for the mrater line from the main to the premise and all ir►terior
plumbing. {Per C'rty code 4p2.06j i a6so hold the City of Fridley and/its em{ttoyees harmless#or any damages that may occur while doing this
operation, This#o anclude,but not limited�o valves,piping,wails,floors or the curh stop box and service line. In understand 1 am aiso require�
to o4�tain a permit prior fio any�ror�c,if necessary.
F01iAL 11AE'fER READlNG(old meter) � �� � ��
Name• �,�Address f GJ�i ��
Phone Numher(�!�iJ(✓ ,-'J 1v- � 1��✓V p� ,��� ` !
Signature- '�i��'"�"^" Witness Signature
OLD METER#_���'�� ��
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NEW MEI'ER# V '` Y � �� (� 1
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FRIDLEY CfTY CODf
CHAPTER 402.WATER,S70RM WATER AND SANITARY SEWER
ADMINlSTRAT'10N
(Ref Ord 1+�fo 113,464,565,566,629,638,66Z,922,988,1144,1].56,1I91}
402.5 PERMIT fEE
Prior to constructing or repair of any water of sewer line wnneccing the existing muniapal system and arry house or building for whicfi the
apptication is made,tfie owner or coma~ador sha[!be required to abtain a permit for such connection,and shalt pay a permit fee as provided in�
Chapter 11 of this Cade. After such connection has been made,the Water aad Sewer Department shall be�ottfied, it shaU be untawful to cover
any connecting I�ne until an irispection has been made a�d such connection and#he worbc inaderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAlRS AND MARPITENANCE TQ CONNECTIOW
After the initiai connection has been made to the water service cvrb stop box or the sewer 1¢ad at the property line or a water service lead t►as
been extended to the property line for connection,tfie appiicant,owner,or accuparrt or user o#such prerr�ises shalf be fiai�e for ail repairs
required to arry water line and sewer l�nes necessary fvr connection of ihe premises fram the main fio the premises. if the property owner
requests maintenance senrice or repairs be perforrned by the City,the property owner shati be charged for the sosts of tfie mairrtenance andjor
repairs,including necessary street repairs at a rate set annuai(y by an administra#ive policy. It shatl be the respos�sibiliiy vf the appliprtt,
owner,occupant or user to perPorm standard maintenance of the sewer service line from the premises to the main includirig tlebris dearing or
root sutting and to maintain the wa�ter service curb stop box for operabii'sty and at such height as wiii ensure that it rernains above tfie finished
grade oF the la�d or properiy. (Ref 638,1156,1191)