Meter Swap r
� Request Number: 15791
Public Works Division
Service Request
Problem Address: 8061 East River Rd Requested By: Andrew �
Department: WATER Address: No address provided
Problem/Issue: I�ISTALL AMR METER Phone Number: 612-201-6028
Sc�ed�ded Date: 201 - - Q Sciceduled'Ilme: 02:00:00
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ACtTON NEEDED:
Created by: Wendy Hiatt Dste Createi: 2017-06-06
ACTYON TAi�N: r
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Status: In Progress Sabmitter Has He�n �
Contacted
Date Complettd: j � � � l� Completed by: C ��
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�ity�#�radley �a�..--��1 -t u r �2.,,
Wa�er Department �
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Fridley,Ml+t 55432
7�3-572-3566
i/we hereby authorize the Cit�/of�ridley andJor its emptoyees to do what is necessary to
sepiace the water meter, t understand Chat the property owner is liahfe for the water line from the rriain to the premise and a!1 isrterior
piumbing. (Per City code 802.06) t also hokt the City of Fridley and/its employess harmless for arry damages that rr�ay occur while doing this
operation. This to include,but not limited to valves,piping,waUs,floors or the wrb stop box and service line. In under;tand!am also requirE
to ubta�n e permit prior to any wortc.if aecessary.
FINAL METER REAp{AIG{oid meter) � � " ✓Q�','a
Name: `��" `�r`Q� Addcess __ �')V IJC.:L S� � �� �,� D ,,�
�� F�-�11 V U fi—C�-
Phone Numb (.lL�'�„ �` �� " � paCe �„g — �`--' �f�
Signature Witness Signature �'—'—'
O!D M�1'ER# V�� � 1 l ��
OtD READtNG ���� �Vv
NEW METER# � ��� � ���
NEW READfA(C; � �
E�'r# ` r�o�oZ ��. ��
FRiDLEY CITY CODE
CHAt�TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMiNiSTRATlON �
(tte#Qrd No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
P�ior to constructing or repair of any ovater of sewer iine connecting the existing municipa!system and arty house ar butiding for which the
aRPlication is made,the owner or co�tractor shal{ise required to obtain a permiC for such connection,and shafl pay a permit fee as provided in
Chapter 11 of this�ode. After such connection has i�een made,the Water and Sewer Departmerrt shaN be notifieci. It shall be un(awfut ta cover
any connecting(ine until an inspettion has been made and such connection aRd the woslc incident thereto has been approaed by the City as a
propes and suitable wnnection.
4Q2.06 REPAIRS AWD MAIMfEIVANCE TO COIVPtECT{ON
After the initial connection has been made to the water service curb stop qox or the sewer lead at the property line or a water se+vice lead has
been eutended to the property line for sonnection,tfie appficant,owner,or occupant or user of sucfi pr¢mises shali he liable for all repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to tfie premises. If the property owner
s�equests mairrtenance service or repairs be performed by the City,the Property owner shall be charged for the costs of the maiMenartce andJor
repairs,inciuding necessary street repairs at a rate set annuai(y by an administrative policy. It sfiatf be the responsibility of the applicarrt,
owner,occuparrt or user to perForm standard mairrtenance of the sewer service tine from the premises to the main including debris clearing or
root cutting and"to mairrtain the water senrice carb stop box for operability and at sucF�height as wili ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191j