Meter Swap i
- Request Number: 16532
r�n�wo�nN;s�on
Service Request
Problem Address: 526 Ely St Requested By: Jan Stern
Department: WA'IER Address: No address p�ovicled
Problem/Issue: INSTALL AMR METER P6one Number: 763-574-1052
Schedul d Date: 20 7-08-02 Sc6ednied 15me: 01:00:00
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ACTION NEEDED:
Created byc Wendy Hiatt Date Crested: 2017-08-01
ACTION TAI�N:
__..._. I �,� ����._ .
Status: In Pro�ess Sabmitter Haa Been r,
Co�ucted
Date Completed: Completed by:
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' �i1ty o��raeloey `�(.
, llilater�e�artevteret �b ��i��7�' O�/
5431 lJniversity Avenue PIE � �/��
Fridley,MN 55432 �� %'
763-572-3566
i/we hereby authorize the City of�ridley and/or its employees to slo what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from#he main to the premise and all iriterior
plumbing. (Per Crty code 802.06) 1 also hold the CtY of Fridley and�ts employees harmtess#or arty damages that may occur while doing this
operation. This to include,but not limited to valves,pipin�waiis,floors oc the curb stop boz and service line. in understand i am also require
to obtain a permit preor to any work,if necessary.
FIIVAt METER READIMG{old meter} 6 L„/� � � �/
Name:� � � "' � Address �� �� ��
Phone Numbe ��c�� � r�' 1 O��pate 4�� (T � `
J�j Signature Witness Signature
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OLD METER# L J � � �`Y�
OLD READING '�(.��� � �
PlEW METER# � t���� �/�
NEW READlNG �
��T# `�`��12-�I�'�O
FRIDLEY CITY CODE
CHAi�TER 4�2.WATER,STORM WATER AND SANITARY SEWER
AOMt1dISTRAT{ON
(t�ef Ord No 113,4b4,565,566,629,fi38,662,922,988,1144,1156,1191�
4�02.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and arry house ar buiiding for which i�►e
application is made,the owner or comr�actor shatl be required to abtain a permit for such�nnection,and shalt pay a�rtnit fee as prov9ded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be notified. tt shall be uniawful to cove�
arry connecting line until an inspection has been made and such connection and the work incider�t thereto has been approved by the Crty as a
groper and suitable connection.
402.06 REPAIRS APID MAIPITENAIVCE TO CONNECI'ION
After the initial connection has been made to the water service airb stop box or the sewer lead at the pro�rty line or a water service(ead has
been extended to fihe property line for connection,the applicant,awner,ar occu�am ar user of wch premises sha!!be liabte#or alt repairs
required to any water line and sewer lirtes necessary#or connection of ti�e premises from the main to the premises. if the groperty owner
requests mairrtenance service or repairs be perFormed!ry the City,the property oarner shall be charged for the rnsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administretive poiicy. It shail be the responsibility of the applicarit,
owner,occupant or user to perform standard maintenance of the sewer service iine from the premises to the main includirtg debris clearin�or
root cutting and to mairitain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
�rade�f the land or property. (Ref 638,1156,1191)