Meter Swap ;.
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Request Number: 12970
Public works Division
Service Request
�roblem Address: 1390 75th Ar� Requested By: Mary Swetland
Department: WA1ER Address: 1390 75th A�
x Fridley,MN 55432
ProblemJlssae: INSTALL AMR METER Phone Number: 763-234-2549
Schedoled te: 2017-01-25 � Schedaledllme: 02:00:00
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AC'IION NEEDED:
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Created by: Beth Ko�ick D�te Creattd: 2017-01-19
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ACTiON TAI�N: _
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Status: Ir�Progress Saba�itter Has Been �
Contxctsd
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Date Completed: 1—�� '.:-- 1�] Completed by:
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C � Wate��e�arta�nerat
* 6431 i�niversity Averaue N� � � �� �' �
Fridley, MN 55432 �
753-572-3566 ��3 y5Z`� 7�,.UUy
9Jwe hereby authorize#he Ciiy o#Fridley andjor+ts empioyees to do what ds necessary ta
replace#he water meter. 1 understand that the property owner is tiable for the water line from the main to the premise and all interior
�lumbing. (Per City sode 4U2.05) i afso hofd the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inciude,but not limrted to vafves,piping,walls,floors or the curb stop 6ox and service line. in understand!am also requlre�
to obtain a perm'rt prior to any�rortc,if aecessary.
FN11AL TAE1'ER READING(cid meter) c/ � l�
, Name:���� �L:1.Q'�-�Gt � Address �✓�� 6 � � �'�l�
Phone Wumber !�� '�-�jt�"'��_1 p�—_�_: �j'— ,�
Signature Witness Signature �^
OLD METER# � I L_,� � � t� �
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OlD READIiUG ( � �In��V
1VEW METER# � ` � 1 � 1 Q J
NEW READlNG �
ERT# � �VV U� � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAN{TARY SEWER
ADMIN ISTR�IT{ON
(Ref Ord No 113,464,565,�56,624,638,66Z,922,9$8,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewe�liae connecting the existing municipaf system and arry house or building fo�whid�the
application is made,the owner or corrtractor shatl be required to obtain a permit for such connection,and shafl pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Depastmern shall be not�ed. tt sfiatl be uniaevful to cover
any conneding line until an inspection has been made and such wnnection and the worlc inader�t thereto has been approved try the City as a
proper and suitabte con�ection.
4a2.06 REPAIRS AND MAIAITENANCE TO CONNECTION
After the initial connecCion has been made to the water service curb stop box or the sewer lead at the property ifne or a water service lead has
been extended to the property line for connection,tfie appiicant,owner,or accupartt or user of such premises sha(1 be liabie for a!1 repairs
required to any wa#er line and se�rer lines necessary#or connection of the premises from the main to the prem'ises. ff the property awner
requests matntenance service or repairs be perFormed by the C"�ty,the property owner sfiaN be charged for the costs of ihe maPrttenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shat{be the responsibiflty of the applicarit,
owner,occupant or user to perform standard mairrtenance of#he sewer service line from the premises to Che main inciuding debris dearing or
root cutting and to mairrtain#he water service curb stop box for operability and at such height as wili enwre that�t remaim above the finished
grade af#he land or property. (Ref 638,1156,11911