Meter Swap ` Request Number: 15747
Pubhc Works Division
Service Request
Problem Address: 361 Ely St Requested By: Don
Department: WA'IER Address: No address�ovided
Problem/Issue: INSTALL AMR METER P6one Number: 763-670-8354
Scheduled Date: 2017-Ob-]2 Schednled'I1me: 09:00:00
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ACITON NEEDED: � ��`� ��
: ,
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Created by: Beth Kondrick Date Created: 2017-06-OS
ACTiON TAI�N:
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Status: InProgress Snbmitter Has Been r :_.�'^�
Contacted
Date Completed: Completed by:
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�ity o#F�sdley �..�6 '" .�.� "7(�6�� /
° Water Depaw"�pt'oen� ! I
' 6431�3niv�rsity Averoue NE S�� ����
Fridley, MN 55432
763-5T2-3566
�/'"�e hereby authorize the C'ity of Fridley and/or its employees to do what is necessary tc
replace the water meter. i understand that the property owner is liabfe for the t+rater line from the main to the premise and ali irrterior
ptumbing. {Per City code�02.06) 1 also hold the Gty of F�idley andrts employees fiarmtess for any damages that mag occur while doing this
operation. This ta inctude,but not limited to valves,piping,walts.floocs or the curb stop box and service fine. in underst�and 1 am also requirE
to obtain e permit prio�to arry worh,if necessary.
FINA!METER READlNG(o1d meterj v" � �� r O
Plame:�('��, Address ��� �'�,.1 ()�
Phone lYumbe � �' ��� ��
Signature Witness Signature \
OLDMETER# �J ���tbeQJ
OlD READlNG "Ir� f>��
NEW METER# '-1� 2.�i� � 3
NE1i1/READ(NG�
E!�"i'# _� ��� � L�✓ �
ERIDIEY CITY CODE
CHAPTER 402.WATER,57'ORM WATER AfdD SANITARY SEWER
ADMINlSTRATiON �
(ttef Ord Rlo 113,46�,565,565,629,638,662,922,988,1144,1156,1191j
4�2.5 PERMtT FEE
Prior to constructing or repa�r of any water of sewer iine connecting the existing municipal system and any house orlwitding for which the
application is made,fihe owner ar corrtractar shalf be required to obtain a permit for such connection,and shatl pay a perm�t fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be rtofified, tt shalt be un(awfvl to cover
any connecting line until an inspection has been made and such connection and the wor�c incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAIPITENANCE TO COIVPIECTION
After the initiai connection bas been made to the water service curb sCop box or the sewer fead at the property flne or a water service lead has
been extended to the property line for r.onnecCion,the applicant,owner,or vccuparRt or user of such premues shali be liable for ail repairs
required to any water line and sewer fines necessary#or connection of the premises from the main to the premises. tf tfie property owner
requests maintenance service or repairs be performed by the�ty,the property owner sha0 be char�ed for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the respensibitity of th¢app{;cant,
owner,occuparrt or user to perForm standard mairrtenance of the sewer senrice line from the premises to fihe main including debtis dearing or
root cutting and to maintain the water service curb stop box for aperability and at such height as will enwre i�at it remains above the ftnished
grade a#the tand or property. (Re�638,1756,1191)