Meter Swap ` Request Number: 16107
Public Works Division
Service Request
Problem Address: 7863 Alden Way Requested By: Jigme
Department: WATER Address: No a�ress provided
� Problem/lssue: INSTALL AMR METER Phone Number: 612-532-2196
Schednled Date• 2017-06-23 Scheduled 11me: 08:30:00
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:�`''�%ACIION NEEDED:
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Created by: Wendy Hiatt Date Created: 2017-06-22
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Status: In Prog�ess Sabmitter Has Been r
Contacted
Date Completed: r _ ,., ��l,v � Completed by: �al�
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� City of Fridiey
Water Department
6431 University Avenue NE � �7 S�
Fridtey,MN 55432
763-572-3566
1/we hereby authorize the City of Fridiey andJor its empioyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and afi interior
plurnbing. (Per City code 402.06) I also hold the City of Fridley andJits employees fiarmless for any damages that may oowr while doing this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and senrice line. In understand f am aiso required
to obtain a permit prior to any work,if necessary.
_ RfNAI METER RfJ4DIPfG(oid meter)_ _ `� VO�-C,J� � �
, Name• J��'. _,� �dress V1�
Phone Number ��� ^ J�dS�—p�,� 1 VI Date l O `" �� �` ��
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Signature W�tness Signature
OLD METER# L�v � �Cf�'�
OLD READING ���� � ��
NEW METER# _ ` � 1 C� i �X� U
NEW READING �
ERT# � � I � �t/ 1 �l�
FR(DLEY CIT1(CODE
CHAPTER 402.WATER,STORM WATER/�ID SANITARY SEWER
ADMINISTRATION
{Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or�epair of any water of sewer line co�necting the existing municipal system and any house or I�ilding for which the
applicat'son is made,the owner or contrador shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 31 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shai{be unlawful to cover
any connecting line unCil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connettion.
402.06 REPAIRS AIVD MAINTEAIANCE TO COPiNECTiON
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 service tead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall Ise fiabiefor ail repaFrs
required to any water line and sewer lines necessary for conneetion 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 shall be charged for the costs af the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative pofiry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mair�tenance of Che sewer service line from the premises to the main incfuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure Chat it remai�s abo+re the finished
grade of the land or property. (Ref 638,1156,1191)