Meter Swap Request Number: 16070
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Public works Division
Service Request
Problem Address: 524 Do�er St Requested By: Roberta
Department: WA1ER Address: No address p�ovic�d
Problemllssue: INSTALL AMR METER Phone Number: 763-447-7668
Scheduled ' e• 2017 6-21 ^ Scheduled 1lme: 07:30:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Date Crested: 2017-06-20
ACTION TAI�N: �
__._..���_`..._.. ��..___._......._...�.._ ._._._._._..�..__.__._
Status: In Pro�ress Submitter Has Been �.,
Contacted
Date Completed: Completed by:
�'o��L.�— l�l `�'�t,o�-
3�c_r,���zo -D.�
City of Frid6ey � � ����
' Water Departrnent
- 6431 University Avenue PIE
Fridley, MN 55432
763-572-3566
1/we hereby authorize the Gty of Fridfey and/or its employees to do what is necessary to
replace the water meter. {understand that the property owner is liable for the water line from the anain to the premise and a11 iMerior
pfumbing. (Per C7ty code 402.a6j 1 also hold the City of Fridley and/its employees harmless for arry damages that may ocar whtle doing this
operation. This to include,but not lir►iited to natves,pipin�waiis,floors or the curb stop box and service tine. irt uncterstand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL M R READIPIG(old meterj ���� � '�J
Name: �`� �
Address � `�
Phone Number ����� ^ � D�@ ��'r�
�S.�g bV'rtness Signature
OLD METER# _ IO�Q `1����
OLD READING ��� ` � `O
IYEW 4VIETER# ��O� ��1 d��,
P1EW READING \/
ERT#� '�' (� ! ���
FRlDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANtTARY SEWER
ADMINi5TRA710N
(Ref Ord No 113,4�64,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing o�repair of arry water of sewer line connecti�g the existing municipal system and any house ar buiiding for which the
application is made,the owner nr co�tractos sha{{be required to obtain a permit for such connection,and sha(i pay a permit fee as provided in
Chapter 11 af this Cade. After such connedion has been made,the Water and Sewer Departmerrt shall be notified. ft shaii be uniawfuf to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the Ciiy as a
proper and suitahle connection.
402.06 REPAIRS AND MAl1YTENANCE TO CONMECTfOM
After the initial connection has been made to the water service curb stop 6ox or the sewer lead at the property iine or a water sertrice lead has
been sxCended to the property line far connedion,the app{icant,owner,or occupairt ar user of such premises shall be liable for all repaics
required to any water line and sewer lines necessary for connecCion of the premises from the main to the premises. tE the property owner
requests maintenance service or repairs be performed by the C'�ty,the property owner shail be charged for the costs of the mai�enance andla�
repairs.including aecessary street repairs at a rate set annuaiiy by an administrative policy. It shali be the responsibility of the applicarrt,
owner,occupant or user to perForm standard matntenance of the sewer service fine from the premises to the main inclu�ng debris dearing or
root cutting and to maintaiR the arater service curb stop box for operability and at such height as will ensure that it remains above the 8nished
gcade af the land or property. (Refi 638,1156,1191)