Meter Swap 1
` Request Number: 15735
Public Works Division
Service Request
Problem A,ddress: 250 Craigbrook Way Requested By: Jeri
Department: WATF.R Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-2190 or 612-710-4635
Scheduled Date: 2017-06-09 Scdedoled 11me: 08:30:00
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ACIION NEEDED:
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Created by: We�edy Hiatt Date Cre�ted: 2017-06-OS
ACTION TAI�N:
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Status: In Progress Sgbmitter Has Been r
Coutacted
Date Compieted: -�C/�� � Completed by: �
Hoars � �Q,�-�Q ,r�
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• Ci#y of��idtey
t y W�����e�a��,e� ���_y—��-����o ,
� �431�niv�rsity Avenue NE
Fr6dley, MN 55432 � � ��/
763-572-3566
1/ave hereby authorize the Gty of Fridley and/or its employees to do what is necessary ta
replace the water meter. I understand that the properly owner is liable far the water line from the main to the premise and all irtterior
plumbing. (Per C'rty code 802.06j 1 also ho4d the City of Fridtey and�ts employees harmless for any damages that may occur wfiile doing this
operation. This to indude,but not limited to vatves,pipin�walis,floars or tfie curb stop box and service line. in understand!am also requin
to obtain a permit prior to an�work,�f necessary.
FINAL METER READIRtG oid met r ���
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Name• _,'�.�\t Address �v �V � (�-
Pfione Atumbe � ` � � � � (� p� �'- �— �� T
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�Signatu '� Witness Signature
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OLD METER# �"� ��
OLD READING �a��a�s�
NEW METER# � � �� � I �v
NEIAt READING � i�
ER'f'# �+��� �� ��
FRtDLEY CITY CODE
CHAi�TER 402.WATER,STORM WATER AND SANiTARY SEWER
AOMtNlSTRQTION � �
(Ref Ord No 113,�,565,566,G29,638,662,922,988,1144.,1156,I191j
402.5 PEitMiT FEE
Prior to constructing or repair of any water of sewer iine connecting the existing municipal system and arry hause ar building for which the
appfication is made,the owner or contractor shap be required to obtain a permit for such connection,and shalt pay a�rm�#fee as previded in
Chapter 11 ofi this Code. After such connection has been made,the Water and Sewer Departmerrk shaN be notified. it shall be unlaarful to cover
any connecting iine urrtil an inspection has been made and sucf�connection and the wortc incident thereto has been approved by the C'ny as a
proper and suitable connectivn.
402.Ofi REPAIRS AMD MAiIUTENANCE TO COPINECTION
After the initiai connection has been rnade to the water service curb stop box or the sewer lead at the praperty line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shali be liable for aq repairs
required to any watec line and sewer{ines necessary#or connection of the premises from the maia to the premises. ff the property owner
requests mairrte�ance service or repairs be performed by the City,the property owner shafl be charged for the costs af the mairrtenance and/or
repairs.including necessary street repairs at a rate set annualiy by an administrative policy. !t shali be the res�nsibil'rly of the applicant,
owner,occuparrt or user to perform standard mairrtenanc,e of the sewer service line frvm the premises to the main inciuding debris ctearing or
root cutting and zo mais�tain the water service curb stop box for operabtlity and et such height as witl ensure that it remains above the finished
grade aF the tand or property. (Ref 638,1156,1191)