Meter Swap �
Request Number: 15561
R
Public Works Division
Service Request
Problem Address: 350 Bellaire Way Requested By: David Hansen
Department: WATER .4ddress: No a�ress provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-5995
Schednled Date: 2017-06-2 Sched 'Ilme: 08:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-25
ACTtON TAKEN: _ _ �
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Status: In Progress Snbmitter Has Been r.,
Co�acted
Date Completed: � ,�1`'� Completed by: C �G
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City of Eridtey ��� ���
Water Department
, 6431 University Avenue NE
{ Fridley,MN 55432
763-572-3566
i/we hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the anain to the premise and alt interior
plumbing. {Per Cri.y code 402.06} 1 also hofd the C'�ty of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop hoz and senrice tine. in understand i am aiso required
to obtain a permit prior to any work,if necessary.
FIPIAL METER READiAtG(old meter) �"�"`� `��
Plame: D��I V � �J�� � [ ,� ,�I
� Address_ ,)J � ����41.�1 � V"�
Phone�lumber ��� � �� {� p� �— ��" �' i
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i nature Witness SignaCure
OLD METER# _ � ��9�� ��
OLD READING
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NEW METER# � � ` � � � ��
NEW READIWG �
ERT# � I �� � �Q � �
FRIDLEY CITY CODE
CHAPT'ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATfON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERfiA17'FEE
Prior to constructing or repair of any water of sewer line conneding the ezisting municipal system and arry house or buiiding for which the
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shall pay a permit fee as prov➢ded in
Chapter 11 of this Code. After such connection has been made,the Waier and Sewer Department shall be notified. It shall be uniawfui to cover
any connecting line urrtii an inspection has been made and such connection and the work inciderrC thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTEPIANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a wat�r seMce lead has
been extended to the property line for connection,the applicant,owner,or cccupaint ar user af such premises sha{{be liable for ait repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. ff the property owner
requests mairrtenance service or repairs be performed by the C'rty,the property owner shali be charged f�ie costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shaii be the responsibliity of the applicant,
owner,occupant or user fio perform standard maintenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop hox for operabi!'ity and at such fieight as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)