Meter Swap = Request Number: 15927
,
Public Works Division
Service Request
Problem Address: 609 Cheryl St Requested By: Christy Shoop
Department: WA'IF.R Address: No address provided
Problem/Iasue: INSTALL AMR METER Phone Number: 612-735-8192
Scheduled Dxte: 20 7-06-13 Scheduled 1ime: 01:30:00
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ACTTON NEEDED: -:�
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Created by: Wendy Hiatt Date Created: 2017-06-12
ACTION TAI�N: � /�
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Status: In Progress Sabmitter Has Been r,
Contacted
Date Completed: �� I�_ I""7 Completed by:
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�fty o��riatey ?�a !� - �(�l���� - a.�
uvat�r Departro,�nt �
, �431 t�niversity Avenue NE �1,� /,��/_Gj//
. Frfidley,MN 55432 f�� y ���'�
763-572-3566
�/'Ne hereby authorize the Gty of Fridley and/or its employees to do what is necessary tc
replace the water meter. 1 understand that the property owner is iiable for the water line from the main to the premise and ali iMerior
plumbing. {Per Zrty code 402.06j I also hold the C'ity of Fridley andPts employees harmless for any damages that may oaur while doing this
operation. This to indude,but not limited to valves,piping,watis,floors or the curb stop box and senrice line. In understand I am also require
io obtain a permit prior to any work,if necessary.
FINAL METER READNVG(oid meterJ �� �� � V
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Names r'� Address _ � v l � ��/� ��
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Phone lYumber � -' /�J��"' �L��. p� �O'" �� �- ��
�Signatur Witness Signature `�
OLD NlETER# � Y �J v y ���
OLD READtNG ��V✓ �llL V
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FRtDLEY CI'f'1f CODE
CHAPTER 402.WATER,STORM WATER APID SANITARY SEWER
ADMENISTRATION
(IZef Ord N�113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE ,
Prior to constructing or repair of any water of sewer line connecting#he existing municipat system and arry house or Iwilding for which the
application is made,the owner or corttractor shall i�e 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 Department shall be notified. It shail be unlawful to cover
any connecting line urrtil an inspection has been made artd such conrtection and the wor&inadent thereto has been approved by the Gty as a
proper and suitable connection.
402A6 REPAIRS AIYD MAINTENANCE TO COPiNECT10N
After the initial connectio�has been made to the water service curb stop boK or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the appficarrt,owner,or occuparrt or user of such premises shail be liabie fo�all repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. ff the property owner
requests mai�tenance service or repairs be performed by the Crry,the property owner shali be charged for the costs af the maintenance and/or
repairs,incfuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarrt,
owner,occupant or user to perForm standard mair�tenance of the sewer seroice line from the premises to the main including debris dearing or
root cutting and to mai+itain the water service curb stop box for operabi(ity and at such height as will ensure that it remains above the finished
grade af the tand or property. {Ref 638,1156,1191)