Meter Swap a
� Request Number: 15999
Public works Division
Service Request
Problem Address: 571 79th Way Requested By: Kevin
Department: WATER Address: No a�iress provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-780-5723
Scheduled Date: 2017-06-20 Sc6ednled'llme: 01:30:00
'....fi ;` .'��
,�...,....,. ACZTON NEEDED:
Created by: Wendy Hiatt Dsite Cres►ted: 2017-06-15
ACT'ION TAI�N:
Status: 1n Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
�iiy of�raelley %(/ I ��O y�� �� (
a 1IVa��er De�artrraent �
, �4311Jniversaty Avenue NE ��h���j �
Frodley,MN 55432 � �
7E3-572-3566
��We ��'�� ���_� hereb authorize the C' of Pridle and or its em 1
Y �Y y / p oyees to do what is necessary to
replace the water meter. 1 understand that the g�roperty owner is liable for the water line from the main to the premise and all irtterior
piumbing. (Per Lity code 402.a6) I also hold the City of Fridiey and/its employees harmless for any damages that may ocwr while doing this
operation. This to indude,but not limited to valves,piping,walts,floors or the curb stop box and senrice line. In understand 1 am also require
to obtain e permit�rio�to arry work,if necessacy.
` FINA!METER READING(old meter) � � �
Name: /—�31✓ �-4<�..,.,/a-+.' Address_ ��� �� ir.11l►-+� ��'
�
Phone Numtter Date ���a
Signature Witness Signatu
uQ �
OLD MEl'ER# � � b V �� 5
OLD READING __ C��(� � (��
NEW METER#_ �a�� �p2 ��
NEW READfNG_ O
ERT# _ �/ �r�� f� �j �
_ FRIDLEY CITY CODE
CHAf�'fER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(13ef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERIVIIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buiiding for which the
application is made,the owner or contractor shall be required to abtain a permit for such conaection,and shalt pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been rreade,the Water and Sewer Departmerrt shali be notfied. it shatl be unlawful to cover
any connecting line urrtif an inspection has been made and such connection and the work incident thereto has been approved by the Crty as a
proper and witable connecfion.
402A6 REPAIRS AIYD MAINTENANCE TO COPiNEC170M
After the initial connection has been made to the water service curb stop boz or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Ilable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
' requests maintenance service or repairs be performed by the City,the property owner shail be charged for the casts vFthe maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shaQ 6e the responsibility of the applicant,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure thafi it remains above the finished
grade af the land or property. (Ref 638,1156,1191)
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