Meter Swap ' Request Number: 15759
r��wo�rn�;s�on
Service Request
Problem Address: 251 Ely St Requested By: Virginia Bauer
Department: WATER Address: No address ixovided
Problem/Issue: INSTALL AMR METFdt Phone Number: 763-784-2851
Scheduied Un e: 2017-0 07 Sc6eduled 13me: 08:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-OS
ACTION TAt�N:
1 �,��I 1 ��-�t'�-
Status: In Progress Subm�tter Has Been r
Co�acted
Date Completed: Completed by:
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� UU'a�er De�aarte�eret
' �431 l�niversity A�enue NE �.
Fridfeyo N!N 55432
763-572-3566 � � (���,
��'Ne hereby autho�ize the Gty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water li�e from the maise to#he premise and ali interior
plumbing. (Per�ity code�02.06) t atso hoid the Crty of Fridfey and/its empioyees harm{ess for ar�y dama�es that may ocxur while doing this
operation. This Lo incfude,but not limited to valves,piping,watts,floon or the curb stop 6ox and senrice line. In understand 1 am also requir�
to abtain a permit prior to any wor�c,if necessary.
F9NAL METER READING(old meterj �� ���� �
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P1ame: Y� Address �c
Phone Atumbe �w �6�'"1�r' ��� � --��, ^ `�
ignature � . /�y�GGC�'��
Witness Signature
OLQ METER#_ ���j I � "� J �
OLD READiNG, C� { � J � 1 � ,r ��O (��t ��? �.0'�'t�i'1''f�Yl C�(U
NEW METER# l� Z� � � "'{�� Y-ly(l�''�.� �
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FR(DLEY CITY CODE
.-- CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER
ADMINISTRATION �
(Ref Ord No 113,4�4,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing a�repair of any water of sewer fine connecting the existing municipal system and ar�y hause or buitding for which the
application is made,the owner or contractor shall be required to obtain a permit for such���ection,and shall pay a permitfee as provided in
Chapter 11 aF this Code. After such connection has been made,the Water and Sewer Departmerrt shafl be notified. it shail be un(awful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the Ctiy as a
proper and suitable connection.
402.05 REPqiRS AMD MAINTEPIANCE TO COPiNECTIOfY
After the initia!connectiort has been made to the water sevvice turb stop boz or the sewer lead at the properly line or a water senrice lead has
been extended to the property li�e for�onnectio�,the appfiqnt,owner,or occupant or user of sucM premises shall be liabie for al!repairs
required to any water{ine and sewer Iines necessary for connection of the premises from the main to the premises. If the property owner
requests mairnenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mairitenance and/or
repairs,including necessary street repairs at a rate set annua{ly!sy an administrative pofiry. It shall be the responsibility of tHe applicarit,
owner,occupant or user to perform standard mairnenance of the sewer senrice line from the premises to the main includir�g debris dearing or
root cuttin�end to mairrtain tfie water servke curb stop box for operability and at such height as wiil ensure that sfi remains above the fiinished
grade of the fand or property. (Ref 638,1156,1191j