Meter Swap � � Request Number: 16521
Public Works Division
Service Request
Problem Address: 7880 Alden Way Requested By: Hrenchyshyn
Department: WATER Address: No address provided
Problem/Issues INSTALL AMR METER PLone Number: 763-571-1407
Schedule te: 2017-08-02 d Scheduled 13me: 0'7:30:00
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ACTTQN NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-31
ACTION TAI�N:� I `
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5tatus: In Progress Submitter Hac Been �...
Contacted
Date Coropteted: Completed by:
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" water�epartme�t
6431�Jniversity Avencae NE
Frisfley,W1fV 55432
763-572-3565
1/we hereby authorize the City of Fridley and/or its empfoyees to s!o aahat is necessary to
replace the water meter. t understand that the property owner is liabte for the water line from the main to the premise and all 9nterior
plumbing. {Per�ty code A�02A6) e also hold the C'�t:y of Fridiey andrts employees harmless for arry damages that rnay 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 1 am also require
to abtain a permit prior to any wror&,if necessary.
FINAL METER READING old m � � " ��O
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Name:�_�Y�J�`� L,� � Address `�t�J � V V
Phone Num r !� l`�'<��L' � ( Date ���J �
1����,�re � Witrtess Sigrtature
OLD METER# �� �� r` " 1�
OLD READING —l' �� 1 v�U
NEIA/METER#_ "r 1�����
Nk"tiN READING O
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRAT{ON
(Ref Ord No 113,4f�,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing ar repair of any water of sewer line connecting the existing municipal system a�d arry house or building for which the
appiication is made,the owner or contractor shail be required to obtain a permit for such connectian,and shalt pay a permit fee as provided irt
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shalt be uniaarFul to cove�
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the Crty as a
proper and suitahfe connedion.
402.06 REPAIRS AND MAINTEIYANCE TO CONNECTtON
After the tnitial rnnnectiort has been made to the water senrice curb stop t�ox or the sewer tead at the property line or a water service Iead has
been extended to the property line for connection,the applicant,owner,or occuparrt ar user of such premises shali be liable for a{(repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. ff the property owner
requests mair�tenance service or repairs be perFarmed by the�ty,the property owner shall be charged for the costs of the maintenance and/ar
repairs,including necessary sfireet repairs at a rate set annually by an administrative poliry. It sha(1 be the responsibility vF the applicant,
owner,occupant or user to perform standard maintenance af the sewer service line from the premises to the main including debris ciearing or
root�cutting and to mairrtain the water senrice curb stop box for operability and at such height as wiil ensure fihat it remains above the finished
grade of the land or property. (Ref 638,1156,1191)