Meter Swap �'
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' Request Number: 15619
Public works Division
Service Request
Problem Address: 340 Ely St Requested By: Mary Roback
Department: WA'IER Addre:s: No address provided
Problem/Issue: INSTALL AMR METER Phoee Number: 763-786-4662
Scheduled Dwte: 2017-06-OS Sc6ednled 1lme: . 11:00:00
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A�GIION NEEDED:
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• , Created by: Beth Kondrick Date Cre�ed: 2017-OS-30
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Statua: In Progi�ess SIIbmitter H�Been r,
Co�acted
Date Completed:� �Y�-- �� Completed by: � �
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�i�of F�adley �� ,�j� (l� � � J
UVa�er De�sartrraent � �
� b431 l�niversity Avenue NE (�� � �(,�✓�
Frodley,MN 55432 7��
7C3-572-3566
+/'"�e hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is tiabte for the water line from the main to#he premise and all tnterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and�ts employees harmless for any damages that may occur while doing this
operation. This to indude,but not limited to valves,pipin�walis,floors or the curb stop box and service�ine. In understand l am aiso requirE
to abtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � V�� L��L,/
Name• '�-`���-j �W � Address _ � L� ��� � .
Phone lYumber ���� L VW '� !�'p� � `— �^' � 1
� Signature r ` Witness Signature
/ �-
OLD METER# �1�-�� �� �' ��
OLD READING ��:���'�, �� � ,.,
NEW NfETER# � ��� � �OC, 1 .
NEW READlP(G `�
ERT'# � �o( � l � � � ,
FRIDLEY�ITY CODE
CHAFTER 402.WATER,STORM WATER AND SANtTARY SEWER
ADMIMISTRATION �
(Itef Ord No 113,464,565,566,629,638,662,922,98�,1144,1156,1191)
402.5 PERfltlIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
appfication is made,the owner or contractor shall be required to abtain a permit for such cortnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be rtotified. It shall be u�tawfui to cover
any connecting line urrtif an inspection has been made and such connection and the work incident there+to has been approved by the C�t�r as a
proper and suitable connection.
402.06 REPAIRS AR/D MAINTENANCE Tp COPIWECTION
After the initiat connection has been made to the water senrice curb stop box or the sewer lead at the properly line or a water seraice lead has
been extended to the property line for connectio�,the appliprrt,owner,or occupant or user of such premises shall be IiaWe for all repairs
required to any arater line and seaver Gnes necessary for connection of the premises from the mai�to the premises. tf the property oarner
requests mairrtenance service or repairs be performed by the�ty,the property owner shali be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrafive policy. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris cfearirtg or
root cutting and to mairitain the water service wrb stop box for operability and at such height as will enwre that it remains above the finished
grade af the land or property. (Ref 638,1756,1191j