Meter Swap ��
� ,`-` , ' Request Number: 16543
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Public Works Division
Service Request
Problem Address: 7601 Arthur St Requested By: Tanya
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nutnber: 'I63-458-2526
Schedule te: 2017-08-16 � Schednled 13me: —08:00:00
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ACTION NEEDED:
Created by: Beth Koc�drick Date Created: 2017-08-01
ACIION TAI�N:
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Status: In Progress Submitter Has Been �,
Contacted
Date Completed: � ����1� Completed by: ����
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' 6431 llraiversity Aarencae NE s� -� ��j�
Fr6slley,MIV 55432
7fa3-5723566
i/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
rep(ace the water meter. !understand that the properly owner is liable for the water line from the main to the premise and all irnerior
plumbing. (Per City cade 402.06j !also hold the Crty of Fridley and/its employees harmtess for arry damages that may oecur 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 obtain a permit pcaor to any wor[c,if necessary.
FlNAL METER READIfYG(old meter) � �� ��O
Name� ! � Address � .
Phone Number�W�'r�✓� ����o p�, `� ��,-- ��
�5�..� Witness Signature
o�D �,��R�_��-I l � � �
OLD READING �� �`� ` ��
NEW METER# _� 1���J v"
NEW READING �
E�-r� �.`Lyl 21-4�j'��1
FRlDLEY CITY CODE
CHA�PTER 402.WA4ER,STORM WATER AND SANITARY SEIA/ER
�MIAIISI'RAT{ON
(Ref Ord No 113,464,565,566, 629,638,662,922,988, 1144,1156,1191)
402.5 PERMtT FEE
� Prior to�onstructing ar repair of any water af sewer line connecting the existing municipal system and arry house or bui(ding for which the
application is made,the awner ar contractor shall be required to abtain a permit for such 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 Departmerrt shalt be oatified, {t shail be untawful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident tfiereto has been approved by#he City as a
proper and suitable rnnnection.
402.06 REPA{RS A1�tD MAtAiTENANCE TO COPtNECT10N
After the initial connection has been rnade fio the arater service curb stop 6ox or the sewer lead at the property line or a water service dead has
been extended to the properky line for connection,the appiicant,owner,or occuparrt or user af wch premises shall be Iiable for atl repairs
required to any waiter line and sewer lines necessary#or connection of tfie premises from the main to the premises. If the property owner
requests mairttenance service or repairs be performed by the City,the property owner shall be charged for the costs af#he mairrtenance and/or
repairs,including necessary street repairs at a rate set annual(y by an administrative policy. !t shatl be the responsibility of the appficant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop hox for operabil"tty and at such height as will ensure that it remains above the�nished
grade af the land or property. (Ref 638,1156,1191)