Meter Swap " Request Number: 15516
Public works Division
Service Request
Problem Address: 228 Ely St Requested By: Mr.Godlewsld
Department: WA'IER Address: No address�ovided
Problem/Issue: IIVSTALL AMR METER Phone Number: 612-388-8070
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heduled Date: 2017-OS-26 Schedaled'Iyme: 08:30:00
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ACITON NEEDED:
Created by: Beth Kornhick Date Created: 2017-OS-23
ACTION TAI�N:
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Status: In Progress Snbmitter H�s Been r,
Contacted
Dute Completed: ������ � Completed by: �a`, ,� '
lf'
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c��cy o�F��,ey SD � ��i �-I
` Water Depaa-tment
•� 6431 University Avenue NE
Fridley,MN 55432
753-572-3566
�/`"�e hereby authori2e the Crty of Fridiey andJor its employees to do what is necessary to
replace the water meter. 1 understand that the property owrter is Iiable for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) I also hold the City of Fridiey and/its emptoyees fiarmtess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice tine. tn understand i am aiso required
io obtain a permit prior to arry work,if necessary.
FINAI METER READING(old meter) � `-� tU. /�- ` V
Name• ��� �O� I'Q W g�--6 Address__ C� �� ��.�/ 'J� •
Pho�e Number �('1." 3 ^' d �v Date ✓ ^ �.�Q `-- �`'7 - —
, Signatu ` Witness Signature
OLD METfR# { I � � 1 � \
OLD READlNG ° � � 1 ��
NEW METER# - I `ao�l J 1 1 �
NEW READING U
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AAID SAAIITA�tY SEWER
ADM1NiS7RAT10N
(Ref Ord No 113,464,565,566,629,638,662,922,988,11Q4,1156,1191)
402.5 PERMIT FEE
Prior to sonstructing or repair of any water of sewer(ine connecting the eacisting municipal system and arry house or buQlding fo�which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shafl pay a permit fee as provtded in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer DepartmeM shall be natlfied. FC shail be untawful to cover
any connecting line untif an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and witable cannection.
402.06 REPAIRS AND MAtNTEMANCE TO COMIYEC770N
After the initiat connection has been made to the water service curb stop box or the sewer lead at the properly line or a water servi�fead has
been extended to the property line for connection,the applicarrt,owner,or occupant o�user of such premises shali be liabie for all repairs
required to any water line and searer lines necessary for connection of the premises from the main to the premises. tF the property owner
requests maintenance service ar repairs be perfarmed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuatly by an administrative poficy. !t shall be the responsibility of the appiicant,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris dearing o�
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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