Meter Swap � y Request Number: 13191
Public works Division
Service Request
Problem Address: 1667 73rd Ave Requested By: Susan Tit�ler
Depnrtme�: WA1ER Address: 1667 73rd A�e
Fridley,MN 55432
ProWem/Issue: INSTALL AMR METER Phone Number: 763-783-1887
Sc6eduled ate: 2017-03-13 Sc6ednled 1lme: 09:04:Q0
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ACITON NEEDED:
Crested by: Beth Kom�rick Date Cres�ed: 2017-01-31
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ACIION TAI�N: �"� .
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St�us: In Pro�ess 5ubmitter Iins Beea �,
Cont�ted
llnte Completed: 3 � ��� )�] Completed by:���
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VI/ater�epartment
5431 tOniversityr Averaa�e NE
Fridteya MN 55432 5���� --�`�.
. 763-572-3565 ����
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'1/we hereby authorize#he City uf Fridley and/or its empioyees to s!o what is necessary to
replace the water meter. �understand that the property owner is diable for the water line from the main to the premise and all iMerior
plumbing. (P,er City sode 4Q2.06j 1 also hold tfie City of Fridley andfrts employees harmless for eny slamages that may occur white doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. tn anderstand 1 am alw require�
to obtain a permit prior to arry�rorlc,if necessary.
FtMAL METER READNN�(old mefier) � I W ���
Name•_ JV�.S�-Y1 I (�Y/�`� Address '_��� �� ��
Phone Number_�lP�^7g�^ �(J[J� p� `' ��"` � �
Signature W�tness Signature
OLD METER#����� I�
r�
OLD READING 1 I�!/ `�O
NEW METER# ' 1 ������J CJ
NEW READING �
ERT# ` I(/w�3�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIO'N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1I91j
402.5 PERMIT FEE
Prior to constructing or repair of any water vf sewer line connecting the existing municipa(system and arry house or building for which the
app(ication is made,the owner or corrd�actor shait be required to obtain a permtt far such coonection,and shafl pay a permitfee as provided irt
Chapter 11 of this Code. After such connection has been made,tfie Water and Sewer Department shall be nobffied. it shall be unlawful to cover
any connecting line urrtil an irrspection has been made and such connection and the wor8c incideKrt thereto has been approred by the C'rty as a
proper and suitable connection.
402.06 REPAiRS AND MAINTEfYA{VCE TO COMNEC'170N
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service iead has
been extended to the property line for connection,the applicant,owner,or accupant or user o#such premises shali be liable for atl repairs
required fio any water line and sewer lines necessary tor connection of the premises from the main to the premises. ff the property owner
requests maintenance seroice or repairs be performed by the Crty,the properly owner shall be charged for the costs of the maintemance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shatl be ti�e responsibility of the appiicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from#he premises to the main inciudirig debris dearing or
root cutting and to mair�tain the water service curb stop box for operabil'ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)