Meter Swap .
% Request Number: 15748
Public Works Division
Service Request
Problem Address: 7548 Alden Way Requested By: Richazd Storla
Department: WATER Address: No a�ress provided
Problem/7ssue: INSTALL AMR METER Phone Number: 612-839-8738
Scheduled Date: 2017-0 07 Scheduled'Rme: 10:30:00
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ACTTON NEEDED:
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Created by: Beth Kondrick Dste Created: 2017-06-OS
ACTTON T.SFLEN: �
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__..............____ _..______.._.. __.........__._..... ��_..._...._....................____.. ..._._........_._____....._
Status: In Progress Sabmitter Has Been r
Cmrtacted
Date Camp�eted: � ^ � ` � ` Completed by: \ ��
; J a.
�iiy o��rddley �(� I " �"fd C��v � O�
water De�s�tme�tt �� (��V �
�' b43�l�niversi A�enue�IE S
� FrAdleyo MN 55432
763-572-3566
1/we hereby aufiharize the City of Fridley and/or its emptoyees to do what is necessary to
replace the water meter. t understand that the property owner is liabie for the�rater line from the main to the premise and ali interior
pFumbing. (Per�ety code 402.06 f 1 afso hold the City of Fridtey andrts employees harmiess for any damages that may oc.cur while doing this
operetion. This to inctude,but not limited to vatves,piping,wails,floors or the curb stop box and service line. In understand t am also requir�
to obtain a permit prior to any work,if necessary.
FIPIAL METER READ{PIG(old meter) �� ��� � O
Name• �1,1.��� .�'TJ��'� Address �`"� �
Phone Number LL ��'��U� ~�� �.Q'— �`^ �
� Date
Signature Witreess Signature
OLD 141ETER# � �� � � �C�
OLD READtPIG � � l � �` � � s nvwh�tl a�f�er �.
N�,�M�F�# � �a c� � z�.
NEW READIMG �-/
E9�T# � �0� �� 1 � �
FRIDLEY CITY CODE
CFIAPTER 4.02.WATER,SCORM WATER AND SANITARY SEWER
ADMINlSTRATION �
(�ef Ord No 113,464,565,566,629,638,662,922,988, i144,1156,1191)
402.5 PERMIT FEE
P�ior to constructing or repair of any water of sewer line connecting the existing municipai system and arry house or bu8ding for which the
application is made,the owner or contractor shall be required to oirtain a permit for such connection,and shafi pay a permit fee as provided in
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notified. It shal!be untawful to cover
any connecting line unti(an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectiort.
402.06 REPAlRS AAlD MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water senri�iead hes
been extended to the property line for connection,the applicar�t,owner,or occuparrt or user of such premises shall be Itable for all repairs
required to any water line and sewer tines necessary#or connection of the premises from the main to the premises. tf the property owner
requests maintenance senrice or repairs be performed by the City,the property awner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shafl be the responsibil'�ty of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and xo mai+rtain the water service curb stop box for operability and at such height as wiff ensure tfiat it remai�s above the finished
grade of the land or property. (Ref 638,1156,1191)
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c�cy .ot Fr�.ai�y '
�ater a ent
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Address���� � ��
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Name
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Date ����
old Meter Number �
Old Meter Reading
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Replacement No.
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Replacement Reading �
Replacement Make
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Remarks: �'��
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Signe
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