Meter Swap s Request Number: 15622
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Public Works Division
Service Request
Problem Address: 371 79th Way Requested By: Ken Durand
DepArtment: WAZER Address: No address provided
ProMem/Iasue: INSTALL AMR METER P�oee Number: 763-'786-3231
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Sc6eduled Dxte: 2017-06 O1 � S,�_ Schednled 11me: 11:00:00
i
ACIION NEEDED:
Crexted by: Werxiy Hiatt Date Cres�ted: 2017-OS-30
ACIION TAKEN:
��,s-�-�,1 I ���-
Status: In Progcess Snbmitter Has Been r
Contncted
Date mpietcd: Completed by:
- I - �-� / �r_
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�Ci#y of�ridley 3� 1 ������V •��
� Water Departeraer�t �
. 6431 llrtiversity Avenue NE S �(.�( �
F�adley,MN 55432 `t� �
763-572-3566
t/we hereby authorize the Ciii.y of�ridtey and/or its employees to do what is necessary to
replace the water meter. H urtderstand that the property owner is tiable for tfie water line firom the main to the premise and all irrterior
plumbing. (Per City code�402.06� I atso hold the Crty of Fridley and/its employees harmless for any damages that may occur whiie doing this
operation. This to include,but not limited to valves,piping,walts,floors or the curb stop 6ox and service line. In understand!am also requir�
to abtain a permit prior to any work,if necessary.
FiNA!METER READtNG{oid meter) ���� � �D
Name: �� V Address � �
Phone lYumber � — p� � '� ! " ��
�5�� Witness Signature
OLD NlETER# ` O O � �� �
OLD READtNG_ Z� �� � ��
NEW METER# uq,22� I �2
NEW READIRtG�
ERT# ��� (�Z� �� +
FRIDLEY CITY CODE
CHA�'TER 402,WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord IYo 113,4�54,565,566,629,638,652,922,988,1144,1156,1191j
402.5 PERMIT FEE '
Prior to constructing or repair of any water of sewer line cannecting the existing municipat system and arry house ar building for which the
application is made,the owner or contractor shalt be required to obtain a permit for such con�ection,and shall pay a permit fee as provided in
Chapter 11 af Yhis Code. After such connection has been made,the Water and Sewer Department shatl Ese notified. it shai{be unlawfuf to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
groper and suitable connecfion.
402.06 REPAIRS AND MAI{VTENANCE TO CONNECT101V
After the initiat connection has been made to the water service curb stop boec or the sewer lead at the property line ar a water service iead has
been extended to the property line for connedion,the applica�,owner,or occuparrt ar user of such premises shali be liable for all repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. tf the property owner
requests maintenance service ar repairs be performed by the City,the property owner shatl be charged for the costs of the maiMenance arn!/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibif'rty of the applicarrt,
owner,occuparrt or user to perform standard mairrtenance of the sewer service line from the premises to the mairt including debris dearing or
root cutting and to maintain the water service curb stop hox far operability and at such height as wii{ensure that it remains above the flnished
grade af the fand or property. {Ref 638,1156,1191)