Meter Swap Request Number: 15460
� Public Works Division
Service Request
Problem Address: 55 70th Way Reyuested By: Allison Loomis
Department: WATER Address: No a�ress provided
Problemllssue: INSTALL AMR METER Phone Nwnber: 1-608-385-0966
Scheduled Date: 201?-OS-25 Schedqled 19me: 10:00:00
� �
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-19
ACTION TAI�N:
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Status: In Pro$ress Snbmitter Haa Been r
Contacted
Date Completed: Completed by:
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City of Fridley �
� Water Departrnent �� �r ,'�y�j
b431 University Avenue NE ���� �
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Eridiey,MN 55432
7f 3-572-3566
��'"�e hereby authorize the Cty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabfe for the water line from the main to the premise and alt interior
pfumbing. (Per City code 402.06) i atso hold the Ctty of Fridley andjits empioyees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to vaives,piping,walfs,floors or the curb stop box and service tine. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
F{NAL METER READ{N6(old meter) v ��� � ��
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Name• Y��l)� �w� �i c'J Address_ ��� �o ' �J�/
Phone Number �"' ����?��Date �� `�� �
Signature Witness Signature
OLD METER# _ `�"1 �� `�
OLD READfNG �� �.J� � `"''�
NfW METER# "t� i�l��✓v��
NEW READING O
fRT# ���J �o3�
FRIDLEY ClTY CODE
CHAPTER�OZ.WATER,STORM WATER AND SANITARY SEWER
ADMIFVISTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191j
402.5 PERMIT FEE
P�ior to constructing or�epair of any water of sewer line connecting the existing municipai system and any hause ar building fo�which the
appiicativn is made,the owner or contractor shal{be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter li af this Code. After such connection has been made,the Water and Sewer Departmem sfialt be notified. It shail be uniawfu{to cover
any connecting line untif an inspection has been made and wch connectian and the work incident tf�ereto has been approved by the Crty as a
proper and witable connection.
d02.06 REPAIRS ANO MAtN't'ENAAICE TO COWNECT{OPI
After tfie initiai connection has been made to the water service curb stop hox or the sewer lead at the property line or a water senrice lead has
been extended to the property line far connection,the applicant,owner,or oauparrt or usec of such premises shatl be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property awner
reguests mair�tenance service ar repairs be perFormed by the City,the property owner sha{i be charged far the costs of the maintenancg and/or
repairs.incfuding necessary street repairs at a rate set annually by an administrative po{iry. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line trom the premises to the main including debris tlearing or
root cutting and to mairrtain the water senrice curb stop box for operability and at such height as wiil ensure tF►at it remains above the finished
grade of the land or property. (Ref 638.1156,1191)