Meter Swap �:
j Request Number: 15948
Public Works Division
Service Request
Problem Address: 625 Dover St Requested By: Jason
Departmeirt: WATER Address: No ac�ress provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-267-5226
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Scheduled D�te: 2017-06-16 Schednied 1lme: 01:30:00
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AC'1TON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-12
Atr7�TAI�N:
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Status: In Progress Sabmitter Hss Been r.
Contacted
Date Completed: /„� �/ _ ��� Completed by
Vd t(c' � ��l, �
lY
����#��d�e�, ��' �a ��0 9��D�
, Water Departrr�ent ��� � �
6431 llniversi#y Avenue NE /w `'7
� Fradley,MN 55432 �`� �
7(i3-572-356�
'��e hereby authorize the City of Fridley and(or its empioyees to do wfiat is�ecessary to
repface the water meter. I understand that the�roperty owner is liabfe for the water line from Lhe main to ihe premise and alf irrterior
p{umbing. (Per�'riy code�p2.06) 1 also hold the City of Fridley andrts employees harmless for arry damages that rnay occur while doing this
operation. This to indude,but not lim'rted to valves,piping,walts,tloors or the curb stop box and senrice line. In understand 1 am also require
to abtain a permit prior to arty work,if necessary.
FINAL ME'CER READ{TIG(old meter) �+� "� � �� �
Name•_ �(�-� _ Addreu_ _ �lJC.� 4�/ Vv 5�•
Phone 9Yumber �"'pL.� t ' Sp�� � -- ��� ��
v
Signature Witness Signature
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OLD METER#_ �,V O�,� � t `y
ULD READtNG �"C/� �V�
NEW METER# (, -I �� V`l C�� 3
NEW RfADING �
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FRIDLEY CITY CODE
CHAf�TER 402.WA�'ER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(6t�ef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1i91j
4Q2.5 PERMIT FEE
Prior to consCructing or repair of any water ofi sewer line connecting the existing municipa!system and any house or bui(ding for which the
application is made,the owner or contractor shall be requlred to obtain a permit for such connection,and sfiait pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sevuer Departmerrt shali be notified. K shalt be untawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approxed by the Cityt as a
proper and suitabie co�nection.
402.Ofi REPAIRS AND MAiNTER1A�iCE TO COPiMECTiON
After tfie initiai connection has been made to the water senrice curb stop box or the sewer(ead at the property iine or a water servioe tead has
been extended to the property line for connection,the appli�nt,owner,or occuparit or user of such premises shall be Ilable for all repairs
required to any water line and sewer lines necessary for connection vf the premises from the main to the premises. If tF�e property owner
requests mairrtenance service ar repairs be performed by the C'ety,the property owner shall be charged for the costs of the maintenance and/or
repairs,inc(uding necessary street repairs at a rate set annually bg an administrative policy. It shall be the respor�sibility af Lhe app4icant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises ta the main including debris dearing or
root cutting and to maintain the raater service curb stop box for operabitity and at such height as will ensure that it remains above the finished
grede af fihe land or property. (Ref 638,1156,1191)