Meter Swap � Request Number: 12954
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pq�1C wO1�S DIVlS10II
S81'VICe RB(]I1�St
Problem Address: 7664 Arthur St Reqnest�d By: Denise Heuss
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-780-2025
Scheduled Da : 2017-01-26 Sc6edaled 11me: 10:00:00
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ACIION NEEDED:
Creatad by: Wendy Hiatt Date Crea�ed: 2017-01-19
AC'IION TAI�N:
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5tatus: In Progress 5nbmitter Has Bean r,
Co�acted
Dnte Completed: �"'a���� Campleted by:
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�1fa�e��epartamevat ( �
5431 Uneversity Averaue NE � � �
. Fridley,MN 554.32 ���_ �c 5�'c� z>� /
753-572-3566 �
� �/�e hereby authorize the City af Fridley andJor its empioyees to aio what ds necessary to
replace the water meter. 1 understand that�he property owner u liable for the+nrater line��From the main to the premise and all interior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harmless for any slamages that may oca�r while doing this
operation. This to inciude,but not lim�#ed to valves,piping,walis,floors or the curb stop box and service line. In understand!am also require�
to obtain a permit prsor ta any wor4c,�f necessary.
FIfVAL METER READING(oid mefier) y`�" � / � �o
Name: ��E Y1��� �Q�� Address /. � �� 1't'Y�(�'
Phone Number !��'��V�'��p�,� p� �— p��_�
Signature Witness Signature '�'�
OLD METfR# �tSl [ �� �C�
OLD READtNG_�� L�J l ��
NEW METER# � ��I $y I 1
NEW READItVG O
ERT# � ��� � � � I
�RIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(Ref Orti Aio I13,464,565,566,629,638,662,922,988,1144,I156,1191}
402.5 PERMIT FEE
Prior to constructing or repair of any water af sewer Tine connecting the existing muniapal system and arry house or building for whic6 the
application is made,the owner or com:ractor shall be required to obtain a perm+t for sucfi connection,and shall pay a permit fee as provided in•
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmern shall be natified. it shail be un(awful to cover
any connecting line urrtil an inspection has been made and such connection and the work inciderrt theceto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AAtD MAIIYTENANCE TO CONNECTION
A�fter the initial connection has been made to the water serv�ce wrb stop box or the sewer lead at fihe property line or a water service lead fias
been extended to the property line for connection,the appiicar�t,owner,or accupant or user of such premises shaii be liabie for all repairs
required#o any water{ine and sewer lines necessary for connection of#he premises from the main to the premises. if the property owner
requests mairrtenance senrice or repairs he performed by the City,the property owner shaN be charged for the costs af the mairrtenar�and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry, k shali be the responsibil'rty of the applicant,
owner,occupant ar user to perform standard mairitenance of the sewer service line from the premises to ihe main including debris dearing ar
root cutting and to mairrtain the water service curb sfiog box for operabitity and at sucfi heigfit as wiff ensure that it remair�above#he finished
grade of the land or property. (Re#638,1156,1191)