Meter Swap � Request Number: 13303
Public Works Division
Service Request
Problem Addreas: 1375 76th Ave Requested By: M W Doolittle
Department: WATER �.eSs: 1375 76th Atie
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 612-282-6875
3cLedWed Dnte: 2017-02-09 Sc6eduled ZTime: 08:30:00
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A.CIION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-02-06
At,"IION TAI�N:
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Status: 1n Progress 5abmitter Au Been �.,
Contacted
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D�te Completed: J— � — C� Compietedby:� ���
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543�.�9n6v�rsrtv�/�venaae N�
Frad�ey,11�lIV 5�4.�2
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$�'�°� hereby authorize Yhe�"rty a�f Fa�idley andJor its empioyees to sto what is necessary
� replace#he�nater meter. 1�nderstand that�he prope�q owner 9s fiabie for the seratee line from the anain to the premise and all imerior
plurrabing. (Per City cosle�2.06� i a(so hold the Crt�j�f Fsidley and/'rts empioyees harmless for eny damages that may occur while doing tt�
operation. This to�nctude,bufi noe limited to vaives,piping,wails,floors or the curb stoP�ox and servece line. in understand!am also req
#o obtai�a perm'rt pr"so�r Lo arry avor�,�f necessary.
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FiAtAL lHtETER READlNG�old mefier) � � "" v ✓ ( �
Name:1"1 `� �(�O �, �'�'"t`'e Address �3�7 5 ��� �
Phone Number l�C��— ���"�r�V�5 p� �, �,� ��
S"igrtature ��r
Wftness Signatare
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OLD itEADtNC� � �� ��l D
NEW METER#_- t v 1 � �� �p�
NEW READlING O �
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FRIDtEY ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRAi'tC1N
�Ref Ord No 113,4�64,565,�66,629,635,662,922,988,1144,I15G,1191}
4Q2.5 PERMl7'FEE
Prior to construcfiir�g ar repair of any water of sewer line connecCing the ercisting municipal system and arry i�use or builtling for which the
application is made,the owner or corrtractor sha(1 be reyuired to obtai�a p+ermifi for such connection,and shall pay a perm�fee as provided
Chapter 1Z of this Code. After such connection has been made,fihe Water and Sewer Departmer�t�trali be notified. It shail be untawfu!to ar
ar�y connecting tine urrtil an inspection has been made arid such connecteart artd the work inaderrt thereto has been eppro�red by the Cityr�a
proper and suitable connection.
402.06 REPi41RS qND MAIi011'ENANCE TO COIWtitECTtON
�
A#fier the init�al connecdon has been made to the wa�tei service curb stap box ar the searer lead at the property line or a�rater service Iead#�a
been extended to the property fine for connedivn,fihe appiicarrt,owner,or accupa�r#or user o#wch premises shalt be 1iable for ail repairs
required t�o arry water line and sewer tines necessary#or connection af fihe premises from the main to the premises. If ifie property owner
requests maiirtenance senrice or repairs be perFormed by the City,the properly owner shall be charged for the t�ts of the mair�tenar�e and/
repairs,inciuding necessary street repairs at a+�ate set annually by an administra#ive polic,y, It sha11 be the responsbi(ity of the applicant,
owner,ocEuparrt or user to perform standard mairrtenance of#he sewer senrice line from ihe premises to the main�nduding debrts dearing o�
roat cutfiing and to mair�tain the water service surb stop box for operability and at such height as wili ensure thaC it remains above the finishec
grade of xhe land or pro�erty. (Ref 638,1155,1192)