Meter Swap r
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Request Number: 15485
Public works Division
Service Request
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Pr Address: 6823 East River Rd Requested By: Linda Gardiner
Department: WATER Address: No a�dress ptovided
Probiem/Issue: INSTALL AMR METER Phone Number: 5�4-1813
Sc�edaled e: 201T-OS-25 Schednled'ilme: 07:00:00
AG7ION NEEDED:
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Created by: Wendy Hiatt DRte Created: 2017-OS-22
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ACTION T . -n
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Status: In Pro�ess Submitter Has Been r,
Contacted
Date Completed: Completed by:
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City of Fridley �� ✓
Water Department �� t , ,( f�
6431 University Avenue NE ������ �
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Fridley, MN 55432
763-572-3566
1/we fiereby authorize tfie C'ity of Fridtey and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liabie for the water line from the main to tfie premise and afi interior
plumbing. (Per City code 402.06) I also hold the City of Fridley andrts employees harmless for any dama�es that maY occur while doing this
operation. This to incfude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FIPIAL METER READING(oid meter) ���� ��
Name• 1�1�� II�GIXG�'6�i� Address v,J �V'v�-J �� *"�
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Phone Number � 4 � �� J Date � ✓�
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'Signature � ` / �,��____.____yy�ness Signature � —
OLD METER# � �"1 � � ���
OLD READfNG � �Z �
NEW METER#_"t� �i���� 1
NEW READING �
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FRIDl.EY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7RATION
(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 connecting the euisting municipai system and arry hous+e or bu9lding for whicfi the
application is made,the owner or corrtractor shafl be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter ii of tfiis Code. After such connection has been m�de,the Water and Sewer Department shalt be notified. it shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
d02.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection Mas been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connectio�,the applicant,vwner,or octupant or user of such premises shail be liable for ail repairs
required to any water line and sewer lines necessary for connection of the p�emises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/o�
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupent or user to perForm standard mairrteoance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as virill ensure that it remains above the finished
grade of the(and or p�operty. (Ref 638,1156,1191)