Meter Swap � Request Number: 12994
Public works Division
Service Request
Problem Address: 1400 69th Av�e Requested By: Tun
1400 69th A�e
Departme�: WATIIt Address: Fridley,MN 55432
PsoblemJjsa�: INSTAL.L AMR METER Phone Number: 763-516-8864
Sche�ed Date: 2017-01-24 Schednled T[me: 0'7:00:00
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ACRON NEIDED:Install AMR
Created by: Beth Kondrick Ihte Created: 2017-01-ZO -
ACTION TAKEN:
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St�us: In Progress Submitter Aas Been r
Contacted
`w i�te Completcd: Completed by:
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iAFater�e�arta�ent j `,�v� � � '� ,/
6431 ilrsiv�rsity Averaue N� ' � �
Fridleyo MN 55432 ���..-� �� � �
. T63-532-3566
� ��we her�by authorize the�ity uf Fridfey and/or its empioyees to do what is aecessary to
rep{ace the water meter. I understand that�he property owner 3s liable for the water line from the main to the premise and ail interior
plurrebing. (Per City sode 402.06j i also hold the Ciiy of Fridley andJits employees harmless#or any damages that may accur while doing tFiis
oper�rtion. This to include,but not limrted to valves,piping,walis,floors or the curb stop box and service tine. In undersCand!am also cequire�
to obtain a permit prior to any�ra!r�,if necessary.
FiNAL METER READIAIG{ofd meterJ 1 � ���
Name: 1 L_w�.. Address _L`�'� l�lJ c��� �'
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PhoneNumber ���y �1 t(�� C7��ate �_� l�`'1;! 1 �
Signature . �tness Signature
OtD METER#_� � �� S �� G-�
OLD READiNG G� � �� �
NEW METER# 1�� � � y J 1 �
NEW READt1VG �
ERT# IrJ `6
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAIYITARY 5EWER
ADMtNISTRATt0i11
(Ref Ord No 113,464,565,566,623,638,662,922,988,1144,1156,1191j
402.5 PERMl7 FEE
Prior to constructing or repair of any water of sewer line connecting the euisting municipat sys#em and arry hause oc building for which N�e
application is made,the owner or co►�tractor shatl be sequired to obtain a permit for such connection,aad sPwlt pay a permit fee as provided'm•
Chapter 11 of this Cade. After such connection has been made,the Water and Sewer Department shall be rto�fied. it shall be uniawfu{to cmver
any connecting(ine until an inspection has been made and such connection ant!the work inaderrt thereto has been approved by the City as a
proper and suitabte connection.
�02.06 REPAIRS AND MAINTEPiAAICE TO COAtNECi'IOM
After the initial cortnection has been made to the water service curb stop hox or the sewer lead at the property line or a water senrice lead t�as
been extended to the property line for cflnnection,tfie appiicarit,owner,or occupant or user o#such premises shal{be liabie for all repairs
required to any water line and sewer lines�ecessary for connection of the premises from the main to the premises. tf the properly owner
requests main#enance service or repairs be performed by the Csty,tfie property owner shali be charged for the costs of the mairrtenar�and/or
repairs,inctuding necessary street repairs at a rate set annualfy by an administratirre policy. rt sFiai!be the responsbility of the appticarft,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main induding debris dearing or
root+cutting and to mairrtain the water servsce�urb stop box for operability and at such height as witl ensure thaC it remairu ahove the$nished
grade of#he land or property. (Ref 638,1156,1191)