Meter Swap i
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Request Number: 16083
Public Works Division
Service Request
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Problem Address: 7661 East Ri�ner Rd Requested By: May Bullock
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 612-418-2621
Schednled Ds�te: 2017-06-23 5chednled'llme: 11:00:00
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AG7ION NEEDED:
C�e�e�d.,�� Beth Ko�xlrick Date Created: 20 U-06-2 t
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' AC.�i TAI�N:
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Status: In Progress Submittcr HAs Been r
Contacted
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Date Completed: p �� v I/ Completed by: �� L
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�City of Fridiey �a � j����
, Water�epartrnent ���
6433 University Avenue NE
Frodtey,MN 55432
763-572-3566
t/we hereby authorize the Gty of Fridley and/or iix employees to do what is necessary to
repiace the water meter. t understand that the property owner is liable for the water line from the main to the premise and a8 iriterio�
plumbing. {Per C�ty code 4OZ.06) i aiso hoid the Crty of Fridley and/'rts employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,pipin�walls,floors or the wrb stop box and service line. In unclerstarnl i am also required
to obtain a permit prior to any work,if necessary.
FIPIAL METER READING(oid metecJ ��� � � ��
Name• �""1� UI�•V�vv�" Address�_��.�Lt ���J� N1 Y�•
PhonelYumber w�'�'` ������ p� � — �3 —' ��
Slgnature��� '����r�•`' WitnessSignature
OLD METER# `�'���� '"�� � �
OLD READING__ ��� � �� �
NEW METER# 1� 1 O�d� lQ� 5 0�
NEW READING v
ERT# � ��� / 3� 5
FRfDLEY CIIY CODE . _ '`=�I►
CHAPTER 402.WA'iER,STORM WATER A�titE1'SANlTARY SEWER
ADMINISTRATION
(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 conaecti�g the existing municipai system and any house or building for which the
application is made,the owner or coritractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter il of this Code. After such connection has heen made,the fA/ater and Sewer Departmerrt shall be notified. It shall be unlawful to cover
any connecting tine until an inspection has been made and such connection and the work incident thereto has been approved bq the City asAa'
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water serviice curb stap box o�the sewer lead at the property line or a water senrice iead has
been extended to t(�e property line for connectlon,the applicant,owner,or oaupaot or user of such premises shaN be liabie for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the�xoperty owner
requests maintenance service or repairs be performed by the City,the property owsier shali be charged for fihe costs aF the mai�tenance and/or
repairs,including necessary street repairs at a rate set annualiy by a�administrative poticy. !t shai{be the responsibiiity of the appiicartt,
owner,occupant or user fio perform standard maintenance of the sewer service tine from the premises to the main inctudin;debris clearin�or
root cutting and to mairrtain the water service curb stop hox for opera6ility and at such height as witf ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)