Meter Swap c
Request Number: 16134
Public Works Division
Service Request
Problem A�ddress: 8051 East Riv�er Rd Requested By: Lenme
Depxrtmeut: WA'IER Addreas: No address provided
Problemllsane: INSTALL AMR METER Phone Nwnber: 763-647-8588
Scheduled Date: 2017-0�-06 �,.z Sc6edule�Time: O8:UO:flO
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ACIION NEEDED:
Created by: Wendy Hi�t Date�resited: 2017-06-26
ACTION TAI�N: �
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Status: In Pro�ess 5ubmitter Has Been r
Contacted
D�te Completed: Completed by:
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, 3�- ���� .--a �
, �City of Fredley f���s GI
Water Departrnent
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6431 University Avenue NE
Fridley,MN 55432
763-572-3565
��'"�e hereby authorize the Cty of Fridley and/or its employees to do what is necessary to
replace the water meter. f understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per Cliy code�OZ.06j i also hold the City of Frid{ey and/its empfoyees harmless for any damages that snay ar.cur while doing this
operation. This to inc{ude,but n�ot limited to vaives,piping,walls,floars or the curb stop box and senrice tine. In understand i am also required
to abtain a permit prior to any work,if necessary.
F1R1A!METER READNYG(old meterj_ _� .V 1 ��
Name: Address L��� �T ���J► �-o�
Phone Aiumber �� "1� ►�.^��p�� '— �j^ ��
`�Signature Witness Signature , l�� _
OLD METER# ���Z � ` Z�
OLD REAIQING ��-��� � � �
NEW METER# '�1�"1���� !�
NEW READING�J
ERT# �Z� I �p��
FRIDLEY CITY CODE
CHA�'TER 4UZ.WA7ER,STORM WATER AND SANITARY SEWEtt
ADMtN{STRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line cannecting the existing municipal system and arry house or buiiding for whith the
application is made,the owner or contrador shail be required to obtain a permit for such connection,and sfiail pay a�rrnit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall6e netified. It shall be untawFul to cover
any connecting line untif an inspecCion has been made and such connection and the work incident the�eto has been approved by the Cny as a
proper and suitable connection.
40Z.06 REPAIRS ANO MAINTEPlAtVCE TO CQPHVECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water seredce iead has
been extended to the property line for connection,the appiicant,owner,or occupant ar user of such premises shal{be liabfe for ai)repairs
required to any water line and sewer tines necessary far connection of the premises from the main to the premises. tf the�property owner
requests mairrtenance service or repairs be performed by the City,the property owner sha�i be charged for the costs aF the maintenance and/o�
repairs,including necessary street repairs at a rate set annua{ly by an administrati+re poliry. !t sha0 be the responstbility of the applipnt,
owner,occupant or usev to perform standard mairrtenance of the sewer service line from the premises to the main includir�debris dearing or
root cutting and to maimain the water service curb stop box for operabitity and at such height as will ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191)