Meter Swap .
} Request Number: 15664
Public Works Division
Service Request
Problem Address: 97 Craig Way Requested By: Lisa Anderson
Department: WATER Address: No address�ovided
Problemllssue: INSTALL AMR METER Phone Number: 320-492-9242
Scheduied Date: 2017-06-26 .� Schednled 13me: 07:00:00
ACTION NEEDED x�, , �
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Created by: Wendy Hiatt Date Cr�nted: 2017-OS-31
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ACTION TAI�N:
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Status: In Progress Submitter Has Been �..
Contacted
Date Completed: � � ��� l� Completed by: ,��
Hours
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� ` 6431�niversityAvenue NE ��� (���
i Frodley,MN 5543Z
753-572-3556
�l'"�e hereby authorize the C'rty of Fridley and/or its emptoyees to do what is necessary to
replace the water meter. !understand that the property owner is liabte for the avater line from the main to the premise and alt irtterior
plumbing. (Per C'rty code 402.U6) f aiso hold the Gty of Fridiey and�ts employees harmiess for any damages that snay occur wfiile doing this
operation. This¢o include,but not lim'rted to valves,piping,walis,floors or the curb stop box and service line. In understand t am aiso requirr
to obtain a permit prior to arry wor�c,if necessary.
FiNA1 METER READiNG(oid meter) v v �� �"v
Name: __ �� 7� � `C-/��76tn Addre�s �� �LIIF� ��y
Phone Number � ���^ �2 (� � '�� — ��
Date �
Signature Witness Signature ^
o� M�-�R# ��3� B�S�
OLD READING `� �� �v�
NEW METER# � ��di�� ��
NEW READIMG v
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FRIDLEY CITY C�DE
CHA�I'ER 4.02.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(lief Ord No 113,464,565,566,629,638,662,922,988,i144,1156,1191j
40�.5 PERMIT FEE
Pcios to constructing or repair of any water of sewer line connecting the existing municipal system and arry house ar buitding for which the
application is made,the owner or con�or shall be required to abtain a permit far such conr�ection,and shaH pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shatl be notified. Pt shall be un(awfui to cover
any connecting line unti!an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectiort.
402A6 REPAIRS AND MAtNTENAPICE TO COMAIEL710A1
After the initiat connection has been made to the water service curt�stop boK or the sewer lead at the property iine or a watec service(ead has
heen extended to the property line fior connection,the applicar�t,owner,or occupant or user of sudt prernises sha{{be fiable for af1 repairs
required to arry water line and searer lines necessary for connection of the premises from the rnain tu the premises. If the property owner
requests maintenance senrice or repairs be performed by the Ctty,Che property owner shalt be char�ed for the coskc aP ihe maintenance and/or
repairs,including necessary street repairs at a rate set annua4ly by an administrative policy. it shall be the responsibilPry of the applicant,
owner,occupant or user to perform standard mair►tenance of the sewer service line from the premises to the main inclu�ng debris dearing o�
root cutting and xo malntain the water service curb stop box for operabil'�ty and at such height as wi(i ensure that it remains above the finishec!
grade af the(and nr property. {Ref 638,1156,1191j