Meter Swap ' Request Number: 13561
Public Works Division
Service Request
Problem Address: 1370 69th Ave Requested By: Mrs Wlute
Department: WA'IER Addreas: No address provided
ProMem/Issue: INSTALL AMR METER Phone Number: ?63-222-2009
Sc6ednled Date: 2017-02-23 ScUedeled 1ime: 08:00:00
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AC7ION NEEDED:
Created by: Wend�r Hiatt Date Created: 2017-02-17
AC'IION TAI�N:
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Status: In Progress Sabmitter Has Been �...
Co�s�ted
Date Compteted: Completed hy:
'2� 23 -� t� � �`�
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6432.l9nives'sity/a4v�na�e 6VE
Fridley,MN 554�2
763-572-3566
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�f�°� he��6y authorize the Crty af Fridley and/or its empioyees to s10 what is rtecessary to
� reg�lace the water meter. 1 understand that the propesty owner 3s iiabie tor the water line from 4he main to the pcemise and ail imerior
plumbing. (Per City cade 402.06� i also hold the Citt�a�f Fridiey andJits employees harmiess far eny siamages that may occur vrhile doing this
operation. Tfiis to�nclucle,bufi not Iimlted io valves,p9ping,walts,floars or ti�e curb stop bux ared service 1ine. In understand 1 am alsa requQr
to obtai�a a perm�t prior to�any�rortc,�f necessary, O `
�o � - 5 al a �o - i
5��b� � sa � ��-�-
F11VAL METER READING(old mete�J
f�tame:_,�_ �� Address,���� 1p�T„ V�
Phone Nu�nber���i(/�,►�J- { Date �� �c)n' ��
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Segnature Witness Signaturn
aLD�,�-�R� ��� 3 �D�1�
(JLD READENG v�`✓ { V i�C�
NEW METER#I���r � 1 t�
NEW REr4a{NG O
ERT#�r (J � � �Q��
FRtDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATfR AND SANRARY SEWER
ADMIlHiS7RATiQN
(Ref Urd No 113,464,565,566,629,638,562,922,988,1144,1i56,3191)
aoz.s Peru�nrr FeF
Prior ta co�s�vctsng ur repair of any water af sewer{ine connecting the existing muniapal system and arry fiouse os buildir�for wfiids the
applicaCion is made,the vwner or corrb-actor shalt be required to abtain a permit#or such connection,and st�all pay a permit fee as provided in•
Chaptes 31 of this Code. After such connect9on has been made,the Water and Sewer Departmernt shall be natified. ft shai{�unfawful to crnre
ar�y connecting tine urrtif an irrspectivn has been made and such connectian and the wardc inaderrt theretfl has 6een approred by tlte City as a
proper and suitabte connection,
�OZ.O6 REPAIRS AR1D 9VIAi1VTENANCE TO CfJNNEC7fON
After f,he initia!connectian has lseen made to tfie water service curb sCop box or the searer lead at the property liae or a water service lead has
been Qxtended to the property line for connedion,tFie applicasrt,awner,or occuparrt or oser af such premises shap be fiabte for aI{repair,
reauired to any water line and sewer tines necessary for connectio�of the premises from the mai�to ttse premises. tf the property orrner
requests mai►i#enance sesvice or repairs be performed by the City,the property owrrer shal{be charged far the+costs o##�e mairrtenance and�or
repairs,includin�necessary street repairs at a rate set annuaily by an administraitive policy. It sha(1 be the responsibifity o�f the applicarrt,
owner,occuparit or user to perform standard mairitenance aF the sewer ser+rice line from the premises to the main�nduding c�bris dearing or
root wtting and to mairrtain the water service curb stop box for operahility and at sucfi height as wiff ensure that it remains above the fin�hed
grade ot the tand or property. (ReE 638,1156,1191j