Meter Swap ,
� Request Number: 13325
Public works Division
Service Request
Problem Address: 1525 73rd A�e Requested By: Raul Orpic
Depsrtme�: WA1ER Address: No a�ess p�ovi�ed
Problem/Isaue: INSTALL AMR METER Phone Number: 612-396-S082
Schednled Date: 2017-02-13 Schednled 1lme: 01:30:00
3� 1' 3
ACIION NEEDED:
Created by: We�y Hiatt Date Created: ZU 1�-02-07
AC1I TAI�N•
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St�• In Progiress Snbmitter Has Been r,
Co�acted
Dstte Co�leted: Completed by:
Honrs �
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F�i�Itiey, 61�IV 5.'S4�2
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�/U°� hereby authorize the��ty�f Fridley andJor its empioyees to sio what ds necessary
' replace the water meter. 1 understand that�he propea•ty owner ss siable for the serater tine from 2he enain to the premise and ali interios
plurrabing. (Per City��oa1e 4�2.06� 1 also hold the City�f Fridley and/'rts employees harmiess for any damages that may occur tihile sloing t(�
operasion. This to anctucle,but nox limfted to valves,�►�pin�wa(is,floors or the curb stoP�ox and service line. Bn understand 1 am also rey
to abtain a permit prsor#o any�uror9c,�f�ecessary.
FIA(AL METER READING(oici meterj � �� �� �
Name• ` � Address_1����� � �v !'�"`�-�--
Phone Number � ' 'r���, Date _ (� �
SIgR�lif2
dVlG12SS S�gi'latl,tY'2
QL�I�I��R� �� XJ � G--�/ �3.
OLD RfADt"di1G_ �, � — 1 ?j t"l �
NEtN METER# � �J�� ��o�
NEW READNVG �
�RT� �Z � B l � �2- 1 "� .
FRIDLEY�I'�'Y CODE
CHAi�TER 402.WATER,STORM WATER AND S,ANiTARY SEWER
ADM14YlSTiZ,�T10N
(iZef Ord No 113,464,565,566,629,s38,fi62,922,98$,i144,I7S6,1191}
ao2.5 PER9V!!T FEE
Prior to constructing or repair of any water of sewer tine connecting the existing municipal system and am/hause or buitding for whid�the
application is made,the owner or corrtractor shal!be required to obtain a permit for such connection,and staall pay a permit fee as provided
Chapter 11 of this Code. After such cannection has been made,fihe Water and Sewer Departmer�t�ali be notified, tt shail P�unta�afu!to co
any connecting[ine urrtii an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MMINTENANCE TQ CONNECTIOM
Aifter the initial connection has been made to the water service curb stop f�ox or the searer iead at the propertY line or a water senrice lead ha
been extended to fihe property line for connecfiion,tt�e applicarrt,owner,or accopar�#or user of such premises shait be Ifabie far aD rQpairs
required to ar�y water line and sewer lines necessary for connection of the premises from the main to the premises. tf tt�e property owner
requests mairrtenance service or repain be perEormed by t6e City,the property owner shall be charged for the costs of ifie mairrtenance and/
repairs,�nctud9ng necessary street�epairs at a rate set annualfy by an administrakive pol�ry. It shall be the responsbility of the applican#,
owner,ocEupant or user to perform standard mairrtenance of the sewer service tine from the premises to the main anduding debris dearing w
root cutting and to mairrtain the water service cur6 sfiop box for operability and at such height as wi8 ensure thaC it remains above the finishec
grade of zhe tand ar property. �Ref 638,1156,1191)