Meter Swap t
� Request Number: 12900
Public Works Division
Seivice Request
Problem Address: 1564 75th A� Requested By: Charleue Wade
DepArtment: WATER Address: No address provided
Probiem/Isaue: INSTALL AMR METER P6one Number: 763-732-0245
Scheduled Dxt : 201?-Ol- 8 � Schcdnled 1ime: 01:30:00
c�-�'1 ,
AC'IION NEEDED:
Created by: Wendy Hi�t Date Crentcd: 2017-01-17
ACTION TAI�N:
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St�usr In Progress S�lunitter Has BeeH r.,
Contacted
Dste Compteted: Completed by:
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����or�-riaoey
Water Department
6431 University Avenue NE c�������
, Fridleya MN 55432 �j� �� " '
763-572-3566 � a ��� � /
�STM�e hereby authorize the City of Fridley and(or its empioyees to do what is necessary to
replace the water meter. !understand that the property owner is liab�e for the water line from the main to the premise and all interiar
ptumbing. (Per Gty code�Q2.06j i also hold the C'ity ot fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop boz and service line. in understand 1 am also required
to obtain a permit pripr to any wor{c,if necessary.
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FINAL METER READING{old meterj
Name: �� 1'�'�.. �l�'�-� Address J S�O� ���r l � ��
Phone Number�CJ O � t 32—U� `� Date 1— � V •'- � I
Signature Witness Signature
OLD METER# � � `� Z� � �l
OLD READING S� 1 S I � v
NEW METER#�� � � � -1��
NEW READIIVG _O
ERT# �� I ��
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191)
402.5 PERMIT PEE
Prior to wnstructing or repair of any water of sewer line conneccing the existing municipal system and arry fiouse or buifding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shal!be�ot+fied, it shaU be untawful to cover
any connecting line until an inspection has been made and such connection and the worlc inciderrt thereto has been approved by the Ctty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTI0111
After the initiai connection fias been made to the water service curb stop box or the sewer lead at the property li�e or a water service Iead has
been extended to the property f;ne for wnnection,the applicant,owner,or accupant or user of such premises shall be liable for ali repairs
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
reques#s main#enance senrice or repairs be pe�Formed by the Gty,the property owner shail be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. tt shall be the responsi6ility of the applicar�t,
owner,occupant or user to perform standard maintenance vF the sewer service line from the premises to the main inciuding debris dea�ing or
root cutting and to maintain the water service curb stap box for operability and at such height as witl ensure that it remains above the finished
grade of#he land or prvperty. (Ref 638,1156,1191j