Meter Swap . � Request Number: 13089
Public Works Division
Service Request
Problem Address: 1380 69th Are Reguested By: Rhiam�a A�rews
Department: WA'IER Address: 138069thAye
Fridley,MN 55432
Problem/Issue: INSTAI.L AMR METER Phone Number: 612-669-4?97
Sc�duled Date: 2017-01-30 Sc6ednled 1lme: I 1:0(3:00
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ACIION NEEDED:
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Crexted by: Beth Konch�ick Date Cre�ed: 201?-01-26
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ACITUN TAI�Nc
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5tatus: In Progress Submitter Has Been �
Contacted
Date Com�eted: � � 3� �— l� Completed by:
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Wate�[)e�artm�nt �`-.> � ,� + t �
6431 llntves-sit�Avenue SV� t
Fridleyo MN 55432 �ZU-� ��(�f ��-�M��
763-5?2-3566 J
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�fwe hereby authorize#he�ity af Fridley and/or its employees to aio what ds necessary to
repiacR#he water meter. �understand that#he�roperty nwner is liabie for the mrater line from the main to the premise and all irnerior
plurrabing. {Per City�osle 402.06) i also hold the City of Fridley and�ts empioyees fiarmtess#or any damages that rnay occur while doing this
operation. This to include,but not Iimited to xalves,piping,wai(s,flaors ar the curb stop box and senrice tine. In understand 1 am a{so require�
to ot�tain a permit priar to any�ror4c.if aecessary.
Ft1VAL R+IETER READING(ok!mefier) �b 5 i � C�
Name:_�1 ��NG�. �1-�+^'�Address 6c� �/" �� �;'V"e .
Phone kumber 1'� Ci.�Z— 9 -�7R7 p� �,^'�jQ "�L'"�
S7gnature w'rtness Signature
OLD METER# �� � 1 v � �``�
OLD READ[NG, ��v �� � b
i1iEW METER# `(J t�� � 1 �`�`�'"
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NEW READING v
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FRtDtEY�ll'tif CODE
CNAPTER 402.WA7ER,STORM WATER AND SANiTARY SEWER
ADMIl111STRATION
(R2f 01"d NO 113�4164�565�566�629�63$,662�92Z�988'I144�1156�1I91j
402.5 PERMIT FEE
Prior to constructir�g or repair of any wate�of sQwer{ine cnnnecting the existireg muniapai system and arry house or bu�tding for whic6 the
epplication is made,the awner or cor+tractor shaff be required to obtain a permit for such connection,and shali pay a permR fee as provided irr
Chapter 11 of ihis Code. After such connection has been made,the Water and Sewer Departmer�t shaU be notified. tt shati be unlawfui to cwves
any cannecting line until an irrspection has been made and suth connection and the wark inciderrt thereto has been approved try the City as a
proper and suitable connection.
402.06 REPAiRS AND MAINTENANGE TQ CONNECTIOPI
After the initiai connectiart has been made to the wrater servic�e arb stop box or the sewer lead at tt�e property iine or a water xnrice lead(�a.s
been exfiended to the properey tine for connection,#t�e appi'�rrt,owner,or occupar�t or user af such premises sHafi be liable for ali repairs
required to aRy water line and sewer lines necessary#or connection of the premises from the main to the premises. tf the property owner
requesfis maintenance senrice or repairs be perFormed by the City,the property owner shail he charged fior the costs af the mairttenar�e and/or
repairs,intluding necessary street s�epair�s at a rate set annually by an administrative policy. it sfialt be the responsibility of the appiicartt,
owner,uccuparrt ar user ta perEorm standard mairrtenance of#he sewer senrice iine from fihe premises to the main inciuding ckbris dearing or
root cutting and fia mairrtain the water service curb stop 4wx for operabiiity and at such height as witl ensure that it remains above the fintshed
grade of the land or property, {Ref 538,1156,1191)