Meter Swap - Request Number: 12893
Public Works Division
Service Request
Problem A+ddress: 1483 75th Ave Requested By: Vern 7hompeon
Dep�rtment: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-5000
Schednled Date: 2017- 1-18 � Scheduled T3me: 11:OO:ffO
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ACIION NEEDED:
Created by: Wex�y Hiatt Date Createds 2017-01-17
ACTION TA1��S�
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Status: In Progress Snbmitter Has Beea �
Co�acted
Dxte Compteted: �._..��—' '� Completed hy:
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�n:y or rr�aoey
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Water De artment �
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6431 University Avenue NE �
� Fridtey,MN 55432 7�3_ S'7��j�-j�c>�
* 763-572-3566 �
�!`Ne hereby authorize the City of Pridley and/or its empfoyees to do what is necessary to
reptace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and ali irrterior
plumbing. (Per Crty code 402.06j i also hold the City of Fridley and/its employees harmless for any damages that may occur while doing tF�is
operation. This to inciude,but not limited to valves,piping,wails,flaors or the curb stop boz and service line. In understand 1 am also required
to obtain a permit prior to any wor{c,if necessary.
FINAL METER READING(ald meter) � � � � ✓ �
Name: �e,r� ����a' Address�__L U J I J �"C -
Phone Number 4�✓ ~/u�r��� p� �,"�"�'- ��
Signature Witness Signature ~
OLD METER# l� �J � �� l I
OLD READiNG �✓ �� ���
NEWMETER#_.- t�I � � �� � �
NEW READING v
��# C� Bg � � � 1 �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMfNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) �
402.5 PERMI7 FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and arty house or building for which the
application is made,the owner or contrador shall be required to obtain a permit for sucfi connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Wa#er and Sewer Department shaH be notified. It shail be untawful to cover
any connecting line until an inspection has been made and such connection and the worlc inaderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made ta the water senrice curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connedion,the appiicarrt,owner,or accupant or user af such premises shall be liable for alt repairs
repuired to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests mairrtenance service or repairs be performed by the City,the proper�ty owner shail be charged for the�of the mairKenance and/or
repairs,including necessary street repairs at a rate set annually by a�administrative poliry. R shall be the vesponsibility a�the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer servlce line from the premises to the main including debris dearfng or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remair�above the finished
grade of the land or property. (Ref 638,1156,1191j