Meter Swap t
` Request Number: 15736
Public works Division
Service Request
Problem Address: 8080 East River Rd Requested By: Todd or Helen
Department: WA1ER Addreaa: No address provided ,
Problem/Tssue: INSTALL AMR METER Phone Number: 763-786-5414
Scheduled Date: 2017-06 09 Schednled 1lme: 11:30:00
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ACIION NEEDED:
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Created by: Wendy Hiatt Dxte Created: 2017-06-OS
ACTION TAI�N:
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Status: In Progress Snbmitter Has Beea r �
Contacted
Date Compteted: r _ � � +� Completed by: \ ���
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�Ciiy o��ridley J�����5/ -�� '_��
Water Departrraent 1J�0
' 643a l�r�sv�rsity Avenue NE �y�� ���
' Fridleyo MN 55432 V
763-572-3566
I/we hereby authorize the City af Frid(ey and/or its empioyees to do what is necessary to
repface the water meter. 1 understand that the property owner is tiable for the water Gne from the snain to the p�emise and all irrter6or
plumbing. (Per Csty code 402.06' !also hoid che�ty of Fridley andrts employees hacm{ess for any damages that rnay occur while doing this
operdtion. This to include,but not limited to vatves,piping,walis,floors or ihe aurb stop box and service(ine. Irt understand I am afso requin
to abtain a permit prior to any work,if netessary.
FINAL METER REApttVG(old meter) � � � � � � O
Name• l��� Address �v (_�J TJ-(,�T" 1�.L"'� �.
Pho�e Number ��2�J" �U�0 " ��� Date �— � '�' ��
Sigrtature � Witrtess Signature `"-�
OLD M�7'ER# � � V{ `�� " 1
OLD READIIVG �,� �� �jpZC�
NEWMETER# 4 1(�(�J(��D
R1EW READ1i11G V
E�-# �Z�35 5� �i�
FRIDIEY CITY CODE
CHQ(�TER 402.WATER,STORM WATER AND SANITARY SEWER
�1DMlN6STRATION �
(Ref Ord No 113,464,565,566,629,638,fi62,9Z2,988,1144,1156,1191)
40�.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa!system and any house ar buitding far which the
application is made,the owner vr contractor sF�alf be required to obtain a permit for such connection,and shaii pay a permlt fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notified. lt sha4!be unlawful to cover
any connecting line ussti!an inspectaon has been made and such connectio�and the work incident tfiereto has been approved 6y the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAIM'EPIANCE TO CQPINECTIOM
After the initial connection has been made to the water service cur6 stop boz or the sewer lead at the propeny line or a water servic�tead has
been extended to fihe property line for tonnectiort,the applicant,owner,or occupant ar user of suth premises shall be IiaWe for all repairs
repuired to arry water line and sewer lines necessary�For connection of the premises firom the main to the premises. tf the�roperty owner
requests mai�tenartce service or repairs be perFormed by the City,the property owner shali be charged for the costs af the mairrtenance and/o�
repairs,including necessary street repairs at a rate sQt annuaily f�y an admirtistrative policy. It shall be the responsibility af the app{icant,
owner,accupant or user to perform standard maintenance of the sewer service line#rom the premises to the main including debris dearing o�
root cutting and to mairrtain the water service curb stop box for operability and at such height as wifi ensure that it remains above t�e finished
grade af the iand or property. (Ref 638,1256,1191j