Meter Swap " Request Number: 12897
Public Works Division
Service Request
Problem Address: 7688 Arthur St Requested By: Slrirley Miller
Department: WA'IER Address: No adc�ress provided
Problem/lssue: INSTALL AMR METER Phone Number: 763-780-Z 161
Scheduled Dxte: 2017-01-19 � Schednied 1lme: 1D:00:00
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ACIION NEEDED:
Crented try: Wendy Hiatt Date Created: 2017-01-17
ACTION TAI�N:
I.�.,1�'c�.c_ �►�
Status: In Progress Snbmitter Has Beea C,
ContActed
Date Completed: Completed by:
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�oty�r rr�aoey �
Water Department � �j ,j�%`') �
/
6431 University Avenue NE
Fridley, MN 55432 ���-- � t�J��'� (
� 753-572-3566
��1Ve hereby autho�ize the City of Pr�dley and/or its empioyees to do what is necessary to
repiace the water meter. !understand that the property owner is liable for the water line from the ma'sn to the premise and aH irrterior
plumbing. (Per City code 402.06) i also hold#he C'ity of Fridley and/its employees harmless#or any damages that may ocwr while doing this
operation. This to inciude,but not limited to valves,piping,wails,floors or the curb sCop box and service line. In understand i am aiso required
to obtain a permit priar ta any work,if necessary.
FIAIAL METER READING(old meter) � � � � ��
Name: �-�t��.lJ�s�( ��i-l�-'Z. Address � �1 1�tt)t`
Phone Nu r D� �^ �'� �. ��
j1
Signatu YYitness Signature ,�
e
a�oM��R# _ �?�� �5a�
OLD READiNG_ 1 ` J �CJ�O
NEW METER#_ �7 �� g�i�
NEW READIIVG �
ERT# �.J T.��� ���`�
FRfDLEY CITY CODE
CHAPTER 402.WATER,SfORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,529,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructir�g or repair of any water of sewer line connecting the existing muniapal system and am�house or buildir�g for which t�e
application is made,the owner or contractor sha(I be required to obtain a permit for such coonection,and shall pay a permit fiee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. it shall be unlawful to cover
any connecting line until an inspection has been made and wch connection and the worlc inciderrt thereto has been approved by#�e C'ity as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the inifial connection has been made to the water senike curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property iine for connection,the appiicarrt,owner,or accupar�t or user of wch premises shall be liabie for ail repairs
required to arty water tine and sewer lines necessary for connection of the premises from the main to tfie premises. ff the property owner
requests main#enance service or repairs be performed by the C'rty,the properiy owner shafi be charged for tfie costs of the mairrtenance andJor
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It sha14 be the responsibility of the applicarit,
owner,occuparrt or user to perform standard maintenance of the sewer service iine from the premises to the matn including debris ckaring oc
root sutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
. .
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City of Fridley ; _
, Water De�artment
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Address ��PI !l,_ /1 Y/� �
. Name ���.c,�� /�'1 r� „�,� , _..
Date . l " � 3 'D G ,-„�„ .�-..s;,, J7�1 g�� ' _
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Old Meter Number
/�s' l0 _ _
Old Meter Reading _ ,
3,3 ���
Replacement No. �
Replacement Reading �
. ', Replacement Make '�6���-'� '
. . � Remarks: �� ��` '` _
Signed
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