Meter Swap ��� - ������-��
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_ ' Request Number: 16334
Public works Division
Service Request
Problem Address: 8081 Broad Ave Requested By: 'Ihomas Bryfogle
Department: WATER Address: No aadress�ovi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-783-3604
Schedule Date: 201 -07-17 � Scheduled Time: 1030:00
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ACTION NEEDED:
Created by: Beth Kondriek Date Created: 201'1-0�-14
ACTION TAKEN:
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Status: In Progress Snbmitter Has Been �,
Contacted
Date Completed: Completed by:
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City of Frielley
' " Water Departener�t
6431 University Avenue NE
Fredley,MN 55432
763-572-3566
��`"�e hereby authorize the City of F�idley and/or�ts employees to do what is necessary to
repiace the water meter. 1 understand that the properly owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) !also hold the City of Fridley andjits employees harm{ess for any damages that may occur while doing this
operation. This to include,but not limited to valves,pipin�walls,floors or the curb stop box and service line. in understand I am also required
to obtain a permit prior to any wark,if necessary.
FINAL METER READING(old meter)
Mame: M� r ��L Address �/
Pha�e Number p�e � —"' �� '' � �
Si nature WitnessSignature ��'
OLD METER#_ _,�`l`D/ � � �
OLD RfADiNG � � L`�3 ��
NEW METER# , _ � �3 ��Cl� �
NEW READING� ['�
ERT# � J ��Sr� �.-S�
FRIDLE1l CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(Ref Ord No 113,464,5fi5,566, 629,638,662,922,988,1144,1156,1191J
402.5 PERMIT FEE
Prior to constructing or repair af any water of sewer line connecting the existing municipal system and any house or bui(ding for which the
application is made,the owner or contractor shatl be required to obtain 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 shall be notified. It shall be unlawful to cover
any connecting tine unCil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAfAI'i'ENANCE TO COPINECTION
After the initial connection has been made to the water service curb stop hox or the sewer lead at the property line or a water senrice iead has
been extended to the property line for connection,the applicant,owner,or occupam or user of wch premises shall be liable for all repairs
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall6e the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the uvater service curb stop box for operability and at such height as will ensure that it rematns above the�inished
grade of the land or property. (Ref 638,1156,1191)