Meter Swap ,
• Request Number: 16023
Pubhc works Division
Setvice Request
Problem Address: 514 Dover St Requested By: Diane Halwrsen
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-784-8229
5cheduled Date: 201 -06-19 Schednled'Rme: 01:00:00
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ACITON NEEDED:
Created by: We�ciy Hiatt Date Created: 2017-06-15
AC'1�ON TAi�N:
Status: In Progress Sabmirier Has Been r.
CoMacted
Date Completed: Com�eted by:
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+ 1IVat�r De�aa"tm+ertt v
• �43�L�niversi#y Averoue NE ��� � (� I�
FridOey, MN 55432 �'r
763-572-3566
Ijwe �'�.r w ry�� Y s r, hereby euthorize the Gty of Pridiey and/or its employees to do what is�ecessary to
replace the water meter. I understand that the property owner os liable for the water line from ihe main to the premise and all interior
plumbing. {per�ity code�02.06j 1 also hold Lhe Ctty of Fridley andrts empfoyees harmtess for any damages that may occur while doing this
operation. This to indude,but not limited to valves,piping,walts,#loors or the curb stop box and senrice line. In understand!am also require
to obtain a permit pria�to any work,ff necessary-
FBMAL METER READING(otd meterj ��v I� /(�
wame: ��r�... � 4..�1�e r� o Address__ 5 4 ul � d v�s `J � ,
Phone Num6er p� � ( ll7
Signatare Witness Signature
OLD METER#� 1(�qq�j/�,j a
OLD READING a�� 1 �C�
NEW METfR# _ � to�o� �p�j � 77
NEW REA,DING _ �
��-#_�a�s's'oia
FRtDLEY CITI CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNtSTRATiON
(Itef Ord No 113,464,S65,566,629,538,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to constructing o�repair of any water of sewer line connecting the existing municipat system and arry house ar bui(ding for which the
application is made,the owner or contractor shafl be required to obtain a permit for such�nnection,and shall pa'�a permit fee as provided in
Chapter 11 of fihis Code. After such connection has been made,the Water and Sewer Department shalt be notified. It shali be unlawi'vl to cover
any connecting line urrtif an inspection has been made and such connection and the work inciderrt thereto has been approved by tfie Crty as a
proper and suitable connecCion.
�02.06 REPAiRS AND MAINTENANCE TO COPINECTION
After the ini�iai connect7on 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 eutended to the property line for connectlon,the applicarrt,owner,or occuparrt or user cf sucfi premises shali be liable for afl repairs
required to any water line and sewer lines necessary for conneetion of the p�emises from the main to the premises. tF the property owner
requests mai�tenance service or repairs be performed by the C+ty,the property owner shafl be charged for the c.osts af the mairitenance and/ar
repairs,including 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 mairrtenance of the sewer service line from the premises to the main i»cluding debris dearing or
root cutting and to rnairrtain the water service curb stop box for operability and at such height as wilt ensure that it remains above the finished
grade a�f the land or property. (Ref 638,1156,1191)