Meter Swap �,�
� - Request Number: 12915
Public Works Division
Service Request
Problem Address: 1501 75th Ave Requested By: 5ar�dra Skog
Departme�rt: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER P6one Number: 763-634-2595
Scl�edqled Dste: 2017-01-19 Sc6ednled 1lmc: 10:30:Of1
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AC7ION NEEDED:
Created b�+: Wendy Hiatt Date Cre�ed: 2017-01-17
ACIION TAKEN:
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Stsitus: In Progcess Snbmitter Hn�Been �.,
Co�acted �
Date Campleted: 1,� �(�,��� Completed by: � ����
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ury or rr�aoey
Water Departrnent
6431 University Avenue NE ��,� — �Q 3 ��O � �f
� Fridtey,MN 55432
_ 763-572-3565 �� � C'�� �
1/we her�by authorize the City of Fridley and/or its empioyees to do what is necessary to
repiace tfie water meter. !understand that the property owner is{iable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06j 1 aiso hold the City of fridley andjits empioyees harmiess for any damages that may ocaur white doing this
operation. This to incfude,but not limited to vaives,piping,wails,floors or the curb stop hox and service line. ln undesstand I am also required
to obtain a permit prior to any wor&,if necessary.
FiMAL METER READING(oid meterj �� f �� � �
�uame• �'G.4��. ��q Address � � � t l � 3� ��
Phone Numbe�_��?J "�3�^��� 5 Date _ � � �-L 'J � L
Signature Witness Signature
OLD METER# ������ C /
OLD READtNG_���-- t � �,Q
NEW METER# �� � I � 1 v�
NEW READiNG o
ERT# _ CF? 4'���j �7 03 .
FRIDLEY ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Alo 113,464,565,566,629,638,662,92Z,988,1144,i156,1191)
402.5 AERMiT FEE
Prior to constructing or repair af any water of sewer line wnnecting the existing muniapal system and am/house or building for which the
appiication is made,the owner or contractor shall be required to obtain a permit for wch connection,and shap pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water a�d Sewer DeparCment shail be notlfied. It shatl be untawful to cover
any connecting line until an inspection has been made and such connectioa and the wurk inciderrt thereto fias been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line w a water senrice lead has
been extended to the property li�e for connectton,the applicarrt,owner,or atcupam or user of such premises shall be IiaWe for all repairs
required to any water Itne and sewer lines necessary for connedion of the premises from the main to the premises. If Che property evorner
requests mairrtenance senrice or repairs be performed by the City,the property owner shat!be charged for the costs af the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shal)be the responslbility of the appticarrt,
owner,uccupartt os user to perform standard mair�tenance of the sewer service line from the premises to the mai�inciuding debris dearing or
root cutting and to mairrtain the water service curb stop boK for operabitity and at such height as wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191J