Meter Swap h
A
Request Number: 12909
Public Works Division
Service Request
Problem Address: 1423 76th Ave Requested By: Allison
Department: WATER Addresa: No address provided
Probtem/Issue: INSTALL AMR METF.R Phone Nnm�er: 651-307-5763
Scheduled 2017-OI-20 � 3cdedaied Tlme: 08:30:00
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AClION NEEDED:
Created by: Wendy Hiatt Date Cres�ed: 2017-01-17
AC"fiON TAI�N:
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-�bmitter Hac Beee
Strtua: In Progress Coutacted r
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Dnte Compteted: �,.,�f O � �`-7 Com�eted by: ��
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���ry/or rriaoey
Water Departrnent � '� Ll �'� �
�, . 6431 Universit�/Avenue PIE � /
{ Fridley,MN 55432 /
763-5723566 �J-�'�S���� � -�
���e her�by authorize the Ciiy of Pridley and/or its emp(oyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all interior
plumbing. (Per Crty sode 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid mefier)�b� l, G/�v
Name: �"'��( 6 Jl;i� Address ���� / l�'� f1 V'�C�
Phorte Number SQ v I � �d I �-5�C�3 p�_ �"' L—�� ��
L/
Signature Wiiness Signature
OLD METER# ���Q �d�
OLD READtNG ��� i���
NEW METER# � r � ( � I r I
NEW READING v
ERT# � ��/� �� !�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa(system and arty house or buildin$for which the
application is made,the owner or corrtractor shali be required to obtain a permit for such cronnection,and shall pay a permit fee as provided iR
Chapter 22 af this Code. After such connection has been made,the Water and Sewer Departmerrt shall be n�ed. !t shail be unlawrhu!to cor�r
any conneding line urrtil an irispection has been made and such connection and the work inciderrt thereto has been approved by the Gty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connection has been made to the water service curb stop box or the sewer lead at fihe prope�ty Ifne or a water service lead has
been extended to the properly line for connection,the applicarrt,owner,or accuparrt or user of suth prem�ses shaU�lPable for al!repairs
required to any water line and sewer lines necessary fvr connedion of the premises from the main to the premises. if the property owner
requests main#enance service or repairs be performed by the City,the property owner shall be charged for the costs af the mairrtenance and/or
repairs,including�ecessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibii'�ty of the applicarrt,
owner,occuparrt or user to perform standard mairitenance of the sewer service line from the premises to the main includi�debris dea�ing a�
root cutting and to mair�tain the water seroice curb stop box for operability and at such height as wflt ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191)