Meter Swap �
� Request Number: 15873
Public Works Divisian
Service Request
Problem Address: 762?East River Rd Requested By: Cassandra
Department: WATER Address: No address p�ovided
- ProblcmJIssue: INSTALL AMR METER Phone Number: 651-38T-5367
Schednled ate: 2017-06-16 Sc6ednled 11rae: 08:00:00
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�:A�CTION NEEDED:
Created by: Wendy Hiatt Date Cre�tted: 2017-06-08
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AC'IION TAKEN:
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Status: In Progress Submitter Hs�s'Been r.
Contacted
Date Compteted: Completed by: � `,�
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�ity o#Fridley ��`� `' l `-' _`�
� Water Department � �. (��j
� 6431 tJniversity Avenue NE �
Fridley,MN 5543Z
763-572-3566
iJwe hereby authorize the City of Fridtey and/or its empfoyees to do what is�ecessary to
rep{ace the water meter, t understand that the property owner is liable for the water line from the main to the premise and all irrterior
piumhing. {Per City code 402.06) 1 also ho4d the City of Fridiey and�ts employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in u�derstaad!am atso required
to obtain a permit prior to any work,if necessary.
F1NA!METER REpQfAIG(oid meter �� � ������
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Name: Vu-'�{7G1.1/1 (1�,` Address_ � �P�� G7t,5T �i�/l� �(�
P ne Number �@�J � "_� "J3�,y Oa� � '... �� "� � �
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Signature Witness Signature
OLD METER# O 1 � ����
�LD REAC1tNG 11�� � �� �
NEW METER# t {�� ����
NEW READtRlG 'v
ERT#_ �aC�,�, � �� �
FRIDLEY CITY C�DE
CHAI�TER 4Q2.WATER,STORM WA7ER AND SANRARY SEWER
ADMINISTRATION
(Ref Ord Wo 113,�64,565,565,629,638,662,922,988,1144,1156,1191j
402.5 PERMiT FEE
Prior to co�structing or repair of any water of sewer line connecting the exss�Cing municipal system and any house or bui(ding for which the
applicaCion is made,the owner or contrador shalt be required to obtain a permit for such connection,and shati pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shati be notified. It shall be untawful to cover
any connecting line until an inspection has been made and wch connection and the work inadent thereto has been approved fsy the City as a
proper and suitab4e cannection.
402.06 REPAIRS AND MAItUTENANCE TO CONNELTfON
After the initiai con�ection has been made to the water service curb stop boK or the sewer(ead at the property iine or a water service lead has
been extended to the property tine for connection,the appficant,owner,or occuparn or user of such premises sha{I be Itable for aq repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tF the property owner
requests maintenance service a�repairs be performed by the Ctty,the property ouvner shali 6e charged fvr the costs aF the maiMenance and/ar
repairs,inciuding necessary street repairs at a rate set annual{y by an administrative poliry. {t sfiall be the responsibility of the applicarn,
- owner,occupant or user to perForm standard mairrtenance of the sewer senrice{ine from the premises to the main incfuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains al�ve the 8nishec!
grade af the land or property. (Ref 638,1156,1191J
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