Meter Swap .
Request Number: 16400
Public Works Division
Service Request
Problem Address: 8041 Fairmont Circle Requested By: Roslyn
Department: WATER Address: No address p�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-360-9104
Scheduled e: 2017-07-20 Schedaled Tlme: 01:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201�-07-19
ACTION T.AI�N:
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Status: In Progress 5nbmitter Has Been r,
CoMacted
Date Completed: '",� �U,_ �� Completed by: ��1� ..
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j Water�e�sartenent Q� � �
6431 lJniversity Avenue NE
Fridley,MN 55432
763-572-3565
'/`'v� hereby authorize the City of Fridtey and/or�ts employees to do what is necessary to
rep(ace the water meter. t understand that the property owner is liabie for the water line from the anain to the premise and all interior
plurnhing. (Per�+ty code 402.06} e also hofd the City of Fridley and/its employees harmtess for any damages that may occur while doing this
operatian. This to include,but not limited to valves,pipirtg,walls,floors or the curb stop box and service line. fn understand 1 am aiso require
to obtain a permit prior to any wor[c,if necessary.
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F1PlAL METER READING(old meter} • p"�� � �
Name: _ ��� �� \ Address �� V ( ����V'�V� ('���
Phone Numb r �.L�Z— a" f ��� p�_ / � Q`-d '— ��
1
VSignature ��
�.. Witrtess Signature
OLD METER# 1� � ���
OLD READlNG �� 1� � �
I�EW METER# �q 3 5 ��q 3
NEW READNVG d
E�� ���-C I $`���.. -
FRIDLEY CITY CODE � �
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
� Priar to consb�ucting or repair of arry water of sewer line connecting Che existing municipal system and arry house ar bui(ding for which dte
application is made,the owner or contractor shail be required to o(rtain a permit for such connection,and shalt pay a permit fee as provtded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shaN be not'rfied. It shal!be uniaarful to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has heen appro�ned by the Cfty as a
proper and suitable connection.
402.06 REPAIRS APiD MAINTENANCE Tq COAINECTION
After the inttiai connection has been rnade to the water senrice curb stop hox or the sewer lead at the property�ine or a water service lead has
been extended to the property line for connectioa,the applicant,owner,or occuparrt or user aF such premises shail loe liable for ail repairs
required to any water line and sewer tines necessary for connection of the premises from the main to the premises. if the property owner
requests mairrtenance service or repairs be performed by the Gty,the property owner shall be charged for the carts of the mairttenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shail be the responsibility af the appiicant,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to mairitain the water service curb stop box for operabiti#y and at such height as will ensure that it remairu abode the finished
grade af the land ar property. {Ref 638,1156,1191j
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