Meter Swap � Request Number: 12976
r�n�wo���on
Service Request
Problem Address: 1621 76th Ave Requested By: Michael Holzbauer
Departmeut: WATER Addreas; No aadress�ovided
Problem/Tssue: INSTALL AMR METER Phone Numbcr: 612-61 0
Sc6eduled Date: 2017-01-20 Schednled 1ime: 11:30:OU
ACTION NEEDED:
Cre�ted by: Wendy Hiatt Date Greated: 2017-01-20
ACTION TAI�N:
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Status: In Progress �bmitter Has Been r
ContAct�d
Date Completed: i�,,,(`-7 Completed by:
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Fridleya MP( 55432 �J.��S��`1���
763-572-3566 �
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ll'"�e hereby authorize#he City af Fridley and/or its employees to do what is necessary#o
replace#he wafier metet. 1 understand that the�roperty owner�s liabfe for the sarater line from the main to the premise and all interior
pluenbing. (Per City code 402.06) i afsa hotd the eity of Fridley andjFFs employees harmiess for any�Jamages that may otcur whiie doing this
operation. This to include,but not limi#ed to valves,piping,wa{Is,ffoors or the curb stop box and service line. In understand!am also require�
to obtain a permit prio�r ta any wor4c,if aecessary.
FItVAL METER READI�IG(otd meter) � � � ` "��
lVame:�i"1��:1�� � ����Z�t�1,..�j�` Address `l5� L--� �lS<� �F.'-
Phone Number lIG 11U� J4�_ p� ("� � `� � t
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ignature � Witness Signature
OLD METER# _ �5�.� t�� �
ULD READtiYG_ � � "! � �C�
AIEW METER#_ `'�� � , � 1 � �
NEW READtNG �
ERT#�_g�7`� 3 � 5 �
FRtDLEY CITY CODE
CHAPTER 402.Wi4TER,STORM WATEtt AND SANITARY SEWER
ADMWISTRAI'ION
(Ref Ord No 113,454,565,566,624,638,662,922,988,1144,i156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line conr�ecting the existing municipal system and arry house or build'�for which the
appiicafiion is made,the owner or contractor shalf be required to obtain a permi#for such conr�ection,and sha41 pay a permit fee as provided in•
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be not'�F'ied. It shail be untawfut to cover
any connecting line untii an irrspection has been made and such connection and the wu�c inaderrt thereto has been approred by the Ciry as a
proper and suitable connection.
402.06 REPAlRS AND MAINTENA4�CE TO CONNECTION
After the initia!connertion has been made to the water service curb stop box or the sewer lead at the property line or a water servic�Iead has
been extended#o the psoperty tine for cpnnection,ihe appiicarit,owner,or accupant or user of such premises shaN be Ifabie for aii repairs
required to any water line and sewer lines�ecessary#or connection of the premises from the main to the premises. tf d�e pvoperly owner
requests main#enance service or repairs be performed by the City,the property owner shali be charged for the costs of the maPrrtenar�ce and/or
repairs,inciuding necessary street repairs at a rate set annuaily by an administratide policy. !t shaq be the responsbifity of the applicarrt,
owner,occuparn or user to perform standard mairttenance of the sewer service line from the premises to the main 9ncludiag debris dearing or
root cutting and to mairrtain the urater service curb stop box for operahility and at sucfi heigfit as wiff ensure that it nemairis al�ove the flnished
grade of the land or property. (Ref 638,1155,1191)