Meter Swap s
� Request Number: 15681
Public Works Division
Service Request
Problem Address: 168 71 st Way Requested By: Bruce Nelson
Department: WA1ER Address: No address provided
ProhlemlIssues INSTALL AMR METER Phone Number: T63-439-3659
Scheduled Date: 201?-06-02 Scheduled 1lme: 01:30:00
r 2� '3
AC"TiON IYLEDED:
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Created by: Beth Koadrick Unte Created: 201?-US-31
ACTYON TAKEN:
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Status: In Progress Sabmitter Has Been r
Contacted
Date Completed: („ ,. �.� �1�'� Completed by: �a�
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�i�y as#F�ad�ey ������ (�� �� �
. RlVa�er Departanen�
. 6431 l�nivers6ty A�rersue NE �� ��?�
Fa�idiey,MN 55432
7f 3-57235f 6
1/we hereby authorize the�ty afi Frid{ey and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the�roperty owner is liabte for the water line from the rmaln tn Lhe premise and ati irtterio�
p(umbing. (Per City code 402.fl6) 1 atso hold the Gity of Fridley aadi ts empioyees harmless for amt damages that may occur while doing this
operation. This to include,buC not limited ta valves,piping,walis,floors or the curb stop hox and service line. In understand t am also rec�uirE
to abtain a permit prior to any work,if necessary.
FINAL METER READtPtG{old meter} � ��� �/
Piame:
V✓��JI.L`'� 'l v`"�i`�U� Address_ �"` (� ��� f�" ��
Phone Number ��Z�— - 6 J�� ���j t Date �.s� -' �`'�.��
�
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' na r _ Witness Signature
OLD METER# � � ���p��f�
OLD READtNG ��` � 1 �v
NEW METER# � b O4p�l0 0�. �, o�.
f1tEV1!READlMG �
ERT#- G �o��. �� -! O"�
�R[DLEY C1TY CODE
CHA[:TER�02.WATER,STORM WATER AND SAPiITARY SEWER
ADMiNt5TRAT10N �
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,liSb,i191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer iine connecting the exssting municipat system and arry house ar buiiding for which the
appiication is made,the owner or cor�tractor shait be required to obtain a permit for such connectian,ar�d shatt pay a permit fee as provided in
Chapter li o�F this Code. After such connection has been made,the Water and Sewer Departmerrt shail be rtatified. !t shali be unlawfu!to cover
any connecting tine urrti!an inspection has been made a�d such connection and the wark'snc�dent there�to has been approved by ihe C�ty as a
proper and suitabfe connection.
402.06 REPAtRS A!1[D MAINTEiVANCE TO COPtPlECT10AI
After the initiat cunnection has been made to the water senrice curb stop i�ox ar tFie sewer iead at the property line or a water s�rvice tead has
been eute�ded to the property line for;connection,the appiiqnt,owner,or occuparrt or user of such premises sha11 be liable far ali repasrs
required to ar�y urater line and sewer lines necessary for connection ofi the premises from the main to the premises. ff the property owner
requests mairs�tenance service or repairs be perfarmed by the�ty,the property owner sha(i be charged for the costs of the mairttenance and/or
repairs,including necessary street repairs at a rate set annual(y by an administrative poiicy. ft shalt be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main includin�debris dearing or
roo#cutting a�d to maintain the water service curb sCop box for operability and at such height as witt�nsure that ifi remains ahove Che finished
grade af the land or p�operty. (Ref 638,2156,1191,
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Ad�ss: 168 71ST WAY NE C�adc R�vr�e: 76 3-571'-48A6
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