Meter Swap � � Request Number: 12579
Pnblic Works Division
Service Req�est
Problem Address: 7330 Able St Requeated By: Benford
Depnrtment: WA1ER Addresa: 733Q Ablc St
Fridlcy,MN 35432
Problem/Isane: INSTAI.L AMR ME1ER P�o�Nnmber: 763-238-6A92
Schednled Date: 2017-01-06 Sc�edoled'Ilme: Ol:OO:UO .
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ACITON NEEDED:Install AMR
Created by: Beth Kondrick D�e Cr�ed: 2016-12-2�
ACIION T
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St�s: In Progess Saba�ltter Ha=Beon r,
Contacted
I?nte Completedc Completed by:
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City of Fridley
Water Department
6431 University Avenue NE �� ) � ���''�(�--1��--
� ' Fridley,MN 55432
' 763-572-3566 �� � �j� �
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1/we hereby authorize the City af Fridiey and/or its empfoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and al{interior
piumbing. (Per City code 402.06) 1 also hold the City of�ridley and/its employees fiarmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand t am a{so required
to obtain a permit pr�or to any work,if necessary.
FINAL METER READING(old meter) v � �`� �� O
� Name: � � Address d J "� �� ��
Phone Humber� ��� �� 1� D� �`�� ��
�(;Signature � Witness Stgnature
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OLD METER#_�.,�V� � � t �
OLD READtNG ��,� � ���
NEitV METER# �'� �+�� ���
NEW READI G �
.
ERT# �� � �J O J '�J�
� FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,&38,662,922,988,1144,1156,1191]
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer tine connecting the existing municipal sYstem and arn�house or buitding fo�whic.h the �
application is made,the owner or contrador shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be natified. It shall be unlawful to cover
any connecting fine until an inspedion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAfNTENANCE 70 CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the qcoperty line or a water service lead fias
been exte�ded to the property line for connection,the appiicant,owner,or accuparrt or user of such premises shall be 1'�aMe for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be perfosmed by the City,the property owner shai)be charged for the costs of the mairrtenance and/oc
repairs,inc{uding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarit,
owner,occupant or user to perfo�m standard maintenance of the sewer service line from the premises to the main including debris dea�ing or
root cutting and to mairitain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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�z�te ��=�C� �' °
- :Old Meter Number � � � ��
Old Meter Reading O (� �� �
Replacement No. � � ��` �` J
Replacement Reading �
Replacement Make . ��"
ERT#
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Replaceme
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� . Remarks:. ea- � �'
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Signed