Meter Swap ..
' Request Number: 13659
Public Works Division
Service Request
ProMem Address: 1348 76th Ave Requested By: Anne A�lrews
Department: WA1ER Addresa: 1348 76th Ave
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phoae Numbers 763-505-6000
Sc6ednled Date: 2017-03-20 Scheduled 1ime: 09:00:00
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•ACTION NEEDED:
Created by: Beth Kondrick Date Creaked: 2Q 1?-02-24
ACIION TAI�N:
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St�ua: In Progress Sabmitter Ans Been �,,
Contsicted
Date Completed: Completed by:
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64�31 tJniv��'sity a�1ve��e 9�1�
FrielBe�/,ll/llV 5�4.32
7S3-S72-35�6
y/'�� � her�by authorize the�'rty af Fridley and/or its empioyees to do whafi is necessarp t
t�e�alace#he water meter. t vnderstand fid�at�fie g�roperty owner 3s liable for the yvater line from¢he main to the premise and a!1 errterior
plurrabing. (Per City code 402.06j i atso bold the City�f Eridley and/'rFs employees harmless#or eny damages tFeat enay occur while doing thi
oper�aYion. This to�nclude,but nrnt Bianited to valves,pipin�walts,floors or the curia stap box and service line. �n understand i am alsa requ
to obtaire a perm'rt�rior To any rror4c,if necessary. � �� 2 �D,�l'_n�
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FIAIAL METER READING(oW mefier)�I ��� I�
lYame: �1'1,C,, � Address��I � ��� ��/'`�
Phone�lumber �� ��� pate � � �v� `�
5��� 11V'rtness Signature
�ZD���R� 1� /� �� I �
OLD READl�1G �` � �D� O
NEW MET€R#_ V�_���_
NEW READtiVG �
ER�1'# � � �ul.J � ��"'�
FRtDLEY CiTY C(aDE
CHAPTEti�p2.WATER,STORM 1NATER AND SANITARY SEN/ER
ADMIiytSTItAT10N
{Ref Orsi No Z13,464,565,�66,629,638,662,922,988,1144,I156,I191}
402.5 PERMlT FEE
Prior to constructirig or repair of any wate�of sewer line connecting the existing muniapa!system and arry house oc building for whic�the
appiica�tion is made,the owner or corrtractor sha(I be required to obtain a permifi for such connection,and shaU pay a permit fee�provided 6
Chapter 11 of this Code. After such co�nection has been made,the Water and Sewer Departmertt shall be notified. R shall be unlawful to cov
arry connecting line untii an inspection has loeen made and such connectioa and the work inciderrt thereto has been aqproved by the C'rly as a
proper and suitabte connection.
402.06 ltEPA1RS AND MA�NTENANCE TO CONf�18L710N
After the initial connection has been made to the wa�ter service curb stop box or the searer lead at the property iine or a water service lead t�as
been exfiended#o the property fine for wnnectian,the appiicarrt,owner,or accupant or aser of suth premises shali be iiat�e for all repa�rs
required to any wafier line and sewer lirtes necessary for connection of the premises from the main to the premises. tf the property owrner
reques#s mairrtenance service or repairs be perFormed by the C'ity,the property oavner shall be charged for#he sosts of ihe mairrtenance and/o
repairs,includ�ng necessary street repairs at a rate se#annualfy by an administra#ive pol9cy. it shafl be fi.�e responsbil'rty af the applicarit,
owner,occupant or user to perform standard mairrtenance of the sewes service line from the premises to the main Anctuding debris dearing or
root cutting and to maintain the water service curb sCop box for operability and at such height as wiU ensure that it remains a6ove the finished
grade of Che land or property. (Refi 638,1156,1191)