Meter Swap ' Request Number: 15122
Pubtic Works Division
Seivice Request
Problem Address: 7271 East River Rd Requested By: Nancy Straad
Department: WATER Address: No address pro�ded
ProMem/Issue: INSTALL AMR METER Phone Number: 763-227•9548
Sc6ednled Date: 2017-OS-08 Sc�doled 11me: d1:00:0()
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ACTION NEEDED:
CYeated by: Beth Ko�rick Date Created: 2017-05-03
ACTYON TAI�N: �
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� St�s; _ In Pro ess Snbmitter Has Been �
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.� Darte Completed: j`� Y �� Completed by:
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City of Fridley C� }� ��(',�
� Water Department �"`� I
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary tu
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridfey and/its employees harmless for any damages that may occur while doing thi;
operation. This to inciude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understar�f am also requfred
to obtain a permit prior to any work,if necessary. '
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FINAL METER READING(old meter) �����'�
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Name: ���`M� Address Fo��`, � . ��6 �"�'-�"• �
Phone Number G�� � "�"'�" �UDate � " � � ��
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Signature YVitness Signature '
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OlD METER#
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OLD READING
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NEW METER# I ����
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NEW READING O I
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FRIDLEY CITY CODE �
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER '
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922�988,1144,1156,1191) II
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
a lication is made the owner or n r r
pP , co t acto shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in ,
Chapter 11 of this Code. After such connection has been made,the Wate�and Sewer Department shafl be notified. It shall be unlawful to cover
any connecting Ilne until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION li
After the initiai connection has been made to the water service aurb stop box or the sewer lead at the property line or a water service lead has '
been extended to the property line for connection,tfie appficant,owner,or occupant or user of such premtses shall be liable for aU repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repatrs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service wrb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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