Meter Swap ° Request Number: 15977
Public works Division
Service Request
Probiem Address: 490 Ely St Requested By: Cherish
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Namber: 612-834-1457
Scheduled Date: 201'I-06-15 Schednled 1lme: 08:30:00
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ACTION NEEDED: -
Created by: Wendy Hiatt Dxte Created: 2017-06-14
ACTION TAKEN: '"'�•
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Status: In Progress Submitter Hs�s Been r,
Contacted
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Date Completed: �_ ���'�t Completed by:
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�i#y of Fridley �%�(�' — �C��� �� —"v �
Wa��r�e�artrs�ent
�b431 l�niversity Avenue A!E '/
� ���''�Y,MN 55432 ��� �i� (��
763-572-356� T �
','Ne hereby authorize the Crty of�ridtey andjor its employees to do rvhat is necessary to
replace the water meter. (understand that the proeserty owner is liable for the water line from the main to Ehe premise and aft irrterior
plumhing. {Per�Lity code 402.06) 1 aiso hold tbe City of Fridtey and/its employees fiarmtess for a�y damages that may occur while doing this
operation. This to indude,but not limited to valves,pipin;�wafls,floors or#he curb stop 6ex and senrice line. in understand 1 am also require
to abtain e permit prior to any�rork,if necessary.
FINAL METER READfA1G(o1d meter) � � �7 � �
Name: �'4^Q, r' `�Yj � Address __ �� 0 �� 1 �•
Phone lYumber ���,� u� t"' � t �� Qate � � ��� y�
i nature � C,� � Witness Signature _�
O� M�ER#_ �� , a ���b (
oLo R�D�NG �3 � `7(� �
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NEW METER#
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FRIDLEY ClTY CODE
CHAP7ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(�tef Ocd Na 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 RERRAiT FEE
P�ior to cvnstrucCing or repair of any water of sewer line connecting#he existing municipal system and arty house or buitding for which the
application is made,the owner or centractor shall be required to obbin a permit for sucEt conaection,and shati pay a penmit fee as provided in
Chapter 110#this Code. After such connecCion has been made,the Water and Sewer Departmerrt shalf be notified. It shall�untawfui to cover
any connecting line urrCil an inspection has been made and such connection and the wo�{c incident theseto has been approved by the City as a
proper and suitable conneetion.
40Z.06 REPAfRS AND MAINTENANCE TO COIVIVECT101V
After the initiai conriection has been made to the water service curb stop box or the sewer lead at the properly line or a water ser�nice tead has
been extended to the property Itne for connection,the appliraM,owner,or occupant ar user of wch premises shal!be{iaWe for all repairs
required Co any water line and sewer lines necessary#or conneetion of the prers�ises from the main to the premises. tf the property oarner
requests mai�tenance servTce ar repairs be performed by the C'rty,the property owner shati be charged for the c�ts of the maintenartce andJar
repairs,inctuding necessary street repairs at a rate set a�nually Isy an adrn��istrative pofiry. It shap be the responsibility aF#he applicant,
owner,occupant or user to perForm standard mairrtenance of the sewer se�rrice line f�om#he premises to the main inciuding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure tf►at it remains above the finished
grade af the land or property. (Ref 638,1156,1191)