Meter Swap /
Request Number: 13266
Public Works Division
Service Request
,�ddress: 1620 76th Ave Requested By: Sang Lee
�ment: WATER Address: 1620 76th A�e
Fridley,MN 55432
Probicm/Issue: INSTALL AMR METER Phone Number: 612-868-9S81
Schednied Date: 2017-02-15 Schedoled'Iime: 02:00:00
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ACTION NEEDED:
CresEted by: Beth Ko�drick Dste Crented: 2017-02-03
ACTION TAt�N:
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Stittus: In Progress ��rter Has Been �
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Date Comp[eted: �-- � 5—'" �,� Completed by: ��
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• �/�°� hereby autfiorize#he�'rty of Frfdley and�o�fts empioqees to aio what ds necessary
replace the wafier rneter. t�nderstand that fihe propea�ty owner u Gabte for the yvater line firom the main to the premise and ail irnerior
plurrabing. (Pea�City code 402.06� i also hold the C'fij�#Fe�idley and�fis employees harmless for any slamages ti�aat may�ccur while doing th
operation. This#o include,b►at not limitecl3o vaixes,piping,wa(Is,floors�r the curb stop box ancl service line. In understand 1 am aiso req�
to obtaira a germrt prior fio any�ror4c,if necessary.
FIAtAL�IIETER READING�old mefierj__ I [ � g � / �
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S�gRature Witness Sigrtaivre ��
OLD METER#__ V3V��,`JV �
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FRD�LEY Ct7Y CODE
CHAPTER 402.W�►TER,STORM WATER AND SANITARY SEWER
ADAAIfNtSTRATION
(Ref Ord No 113,4G4,565,566,529,638,662,922,9$8,i144,1156,I191}
402.5 PER9UtiT FEE ��,�`
Prior to constructing or repair of any water of sewer line connectirig the ercisting municipat system and arry Fwuse or buil�ngfor w6ich the
appiicafiion is made,the owner or corrtractor shai!be required to obfiain a permit for such wnnection,and shali pay a permit fee as provided i
Cha�rter 11 of#his Code. After such connection has been made,fihe Water and Sewer Deparbnerrt shall be ncrtified. it shail 1m untawfui to crn
aray connecting line u�rtil an inspection has been anade and such connection and the+arork inciderrt thereto 6as been approaed by U�e Gty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENpAiCE TO COMNECTIOM
After f,he i»itial connectiort has been made to the water service curb stvp(wx or the sewer lead at fihe property Ifne or a water service Iead f�a;
been extended to fihe property line for conrtection,the applicarrt,oarner,or accuparrt or user af such premises shat!1,�liabie for atl repairs
required to any water line and sewer lines necessary#or connection of the premises from the main fio the prem�es. If ifie properly owner
requests mairr#enance service or repeirs be perFormed by the C'ity,the property owner shali be charged for the costs af ihe mairrtenar�ce and/<
repairs,includ�ng necessary street�epairs at a rate set annually by art administra#irie policy. R shali be the responsbility af the app(icarrt,
owner,occuparrt ar user to perform standard mairrten�nce of#he sewer service tine from the premises to the main dncluding debris dearing or
root cuttting and to mairrtain the water seruice curb stop box fo�operability and afi such height as wiii ensure that it remains above the finisf�ec
grade aF the land or property. {Ref 635,1156,1191)