Meter Swap t
, Request Number: 16080
Public works Division
Service Request
Problem Address: 8255 East Ri�r Rd Requested By: Kathy
Department: WA1ER Address: No address provided
ProblemJlssue: INSTALL AMR METEIt Phone Number: 612-703-3513
Scheduled 2017-06-22 5chednled 11�ae: 04:00:00
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ACITON NEEDED:
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Created by: Wendy Hiatt Date Created: 2017-06-21
ACIION T.�I�N:
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Status: In Progress Snbmitter Has Been r.,
Cont�ted
Date Completed: Compteted by:
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• City o#Fridley ������ ���
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Water Departrv�ent
� 6431 University Avenue NE ��j .�
Frid{ey,MN 55432 �-�/-fi ����
763-572-3566
i/we hereby authorize the City of fr�diey and/or its employees to do whaC is necessary to
replace the water meter. i understand that the property owner is liable for the water llne fmm the main to the pcemise and a11 interior
plumbing. (Per City code$02.06) I also hold the City of Fridley and�ts employees fiarmless for any damages that may occur wh�le doic�g this
operation. This to include,but not IimRed to valves,piping,walis,floors or the curb stop box and se+vice line. In understand I am afso required
to obtain a permit prior to any work,if necessary.
FIIVAL METER READIT{G(otd meterj + �J� 6 V
Name• Address "�L�� � �yw�
Phone Number ���� ate T.J�22 4�
Signature Witness S'ignnature
OLD METER# �� v��
OLD READiNG ! � � �4
NEW MfTER# � 22 �2�
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NEW READING � �� F
ERT# � ��� ` �/�
FRIDLEY CITY CODE
CHAPTER 4U2.WA7ER,STORM WATER AND SANITARY SEWER
ADMINISTRATfON
(Ref Ord No 113,454,565,566,629,638,662,922,98$,1144,1156�1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipaf system and ar�y house or building fo�which the
appiication is made,the awner or wntractor shall be required to obtain a permit far such cnnnection,and sha{I pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,tfie Water and Sewer Departmerrt shall be notefied. it shatl 6e untawfu!to cover
any connectiag line until an inspection has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COPtNEC1'ION
After the initial connection has been made to the water service qub stop box cr the sewer lead at the property line or a water service lead has
been extended to the property line for co�nection,the applicarn,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer tines necessary for connection of the premises from the main ta the premises. If ifie property owner
�equests maintenance service or repairs be performed by the Crty,the property owner shail be charged for the costs of tfte maintenance and/or
repairs.including necessary street repairs at a rete set annually by an administrative po{�cy. !t sha{i 6e the responsibiiity of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from Che premises to the main includin�debris dearing or
rout cutting and to maintain the water service curb stop box for operability and at such height as wiN ensure that it remai�above the finished
grade of the land or property. (Ref 638,1156,1191�
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