Meter Swap ,
� Request Number: 15675
Public Works Division
Service Reqt�st
Problem Address: 640 Cheryl St Requested By: Patricia Kohls
Department: WATER A�ddress: No address ptovided
Problem/Isaue: INSTALL AMR METER P6one Nnmber: 763-784-8555
Scheduled Date: 2017-0 -07 � Sc6eduled 1lme: 01:00:00
� � ' �
ACI'ION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-31
ACTiON TAI�N: ��
.._..._......_.c_..._��I.l___.._�.__..__..__._._..___.....___._.._. ____. ___ _
Status: In Progress Sabmitter Has Beea r,
Cont�ted
Date Campleted: Completed by:
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�ity o�Frsdley ��-������ �l/ I
1A�'ater Departrnen� /
• f431 l�niversit}t AVenue NE � �1� ����E�J
� Fr�tJtey, MN 55432 ��
7�3-572-3566
1/we herebq authorize the Crty of Pridley and/or its employees to do what is necessary to
replace the water meter. 1 understand�at the property owner is liab�e for the water line from the main to the premise artd alt interior
piumbing. {Per C'rty code�02.06) I also hold the City of Fridiey and�ts employees harmless for arry damages that may occur while doing this
operation. This to inctude,but not limited to valves,piping,walts,floors or the curb stop box and service line. In understand 1 am aiso requir�
to abtain a permit prio�to ar►y work,if necessary.
FBMAL METER READtp{G(aid meter) � ��O � (�
Plame: �"1 Y ��� 1� `N� Address_ � W �,.�'`'��Q \ ��
Phone Numb
�"`1`��-� �"�"� �-�1,--`�1
�Signature ��
Witaess Signature
OLD METER# �v������ �
OLD READING � I rnJ � , V
���M�-E�� ��Z2���� .
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NEW READlNG �/
E�# �222r12��
FRIDLEY CITY CODE
CHQPTER 402.WATER,STORM W�1TER AIYD SANITARY SEWER
ADMINISTRATION •
(�tef Ord!Vo 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 iine conoecting the existing municipai system and arry house ar buitding for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shati pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the tAlater and Sewer t?epartmerrt shall be notified. It shall be unlawfut to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the Crty as a
proper and suitable connection.
402.06 REPl�11R5 AND MAINTENANCE TO COAINECTIOl11
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of such prem'�ses shall be liable for all repairs
required to any water line and sewer tines necessary#or connection af the premises from the main to the premises. tf the property owner
requests mairrtenance service or repairs be performed 6y the City,the property owner shall be charged for the ccsts of the maintenance and/ar
repairs,including necessary street repairs at a rate set annually by an admirtistrative poliry. It shali be the responsibility of the applicarit,
owner,occupant or user to perform standard mairrtenance of the sewer service line frvm the premises to the main including slebris ciearing or
root cutting and to mairrtain the water service curb stop box for operabili#g and at such height as wiil ensure that it remains above the finished
grade of the iand or property. (Ref 638,1156,1191)