Meter Swap �.
� Request Number: 13122
Public works Division
Service Request
Problem Address: 7676 Arthur St Requested By: Eileen
Deputment: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Plwne Number: 763-786-4396
Scheduled Date: 2017-02- Scheduled 1ime: 01:00:00
f�'l
ACITON NEEDED:
°` Created by: Wendy Hiatt Date Createdc 2017-01-27
ACIION TAI�N•
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St�ua: In Progress Snbmitter Has Been �,
Co��ted
-- Date Completed: Completed by:
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�vatea-�par�te�a'ent �-. _�
�431 llndv�a-sltZr�,versue N� � �; a�� „�.5� �
Friel6sy, MN 55432 /
' 753-572-3565 � �� r�,� t.!� I I � -- L� � --
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,/�e hereby authorize#he�'rtyr of Fridley andjor its empioyees to do what ds necessary to
replace the water meter. �c�nderstand that ihe property owner as liabie tor the water line from the main to the premise and all irtcerior
plumbing. (Per�ty cosle 402.06� i also itold the Crty af�ridley and�ts empioyees harmless#or erry siamages that may occur�erhile doing this
operation. This to include,but not 9imi#ed to ualves,piping,walis,floors or the curh stop box�nd service 1ine. in understand l am also requir
to obtain a permit preor to arry worlc,if necessary.
F11VAL METER READING(ald meter) � � ��
Name: � Address �. `�� 'r�� �
� ate 1 i tJ y�
Phone Number �'
Signa#ure .�--- Witness Signature `/ --�
OLD METER# �'b� � � � � y
OLD READt1VG 3 3� � Z d
NEW METER# ������ �I
NEW READlNG l l
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ERT# � t � � ��� .
FRIDLEY CiTY CODE
CHAPTEtt 402.W14TER,STORM WATER AND SANITARY SEWER
ADMIN ISTRATION
{Ref Ord NO 113,464,565,�66,629,638,662,922,988,1144,i156,1191)
402.5 PERMtT FEE
Prior to constructing or repair of ariy water aE sewer{ine connecting the existing municipal system and arry house or buiiding for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided irr
Chapter 31 of this Code. After such connection has been rnade,the Water and Sewer Departmer�fi shall be not'rF'ied. it shall f�e un(awful to cove
any connecting tine until an inspection has been made and such connection and the worlc inaderrt thereto has been approved by the C'ity as a
proper and suitable conn+ection.
402.06 REPAIRS AND MAINTEf11ANCE TO COWf11ECTiON
A�fter the initiat connectivn has been made to the mrater service arb stop box or the sewer lead at the property line or a water service lead(�as
been extended to the property line for connection,the applicarrt,owner,or accupar�t or user of such premises shaq be liabfe fur ail r+epa(rs
required to any water line and sewer lines necessary#or connection of the premises from Lhe main to the premises. ff the property orrner
requests main#enance senrice or repairs be perFormed by the City,the proper#y owner shall be charged for the costs of the ma�rrtenance and/or
repairs,inc(uding necessary street repairs at a rate set annuaily by an administrative poliry. R shail be ti�e responsbiiitY of the appiicant,
owner,occuparrt or user to perform standard mairrtenance of the sewer service tine from the premises to the main induding debris dearing or
root cutting and to mairrtain the water senrice curb sCop box for operabili#y and at such height as wiH ensure that it remains above the finished
grade af t6e fand or property. {Ref 638,1156,�.191j