Meter Swap ` Request Number: 15857
Public works Division
Service Request
Problem Address: 625 Fairmont St Requested By: Keith
Department: WA'IER Address: No address provi�d
Problem/Issue: INSTALL AMR METER P6one Number: 763-717-3082
Scheduled Dat • 201'7-06-12 �Scheduled 1ime: 11:30:00
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ACIION NEEDED:
Crented by: Wendy Hiatt Date Crented: 2017-06-07
AC'ITON T .
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......_.__...�._�.�..__... ._............_....._................_____..._....._____._____._______ _W. ...._.....__..._.__._ .._.__.._ _
Status: In Progress Snbmitter Has Been r,
CoMacted
Date Completed: Completed by:
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�i'�O'�'�C9C�r2Y �j0� r ��! /� _V�..
� Wa�er De�arta�aer�t /
� 6431 l�niversity Avenue NE �Q,�. (,�'70�
Fr�dley, MN 55432
763-572-3566
+/'Ne hereby authorize the City of Fridiey and/or its empioyees to do what is necessary to
replace the water meter. t understand that tfie pro�oerty owner is liabte for the water line from the rnain to the premise and all irrterior
plumbing. (Per�'rty code 402.06J I atso hold the City af F�idiey and�ts employees harmless for any damages that may occur while doing this
operatiom. This to include,but not limited to valves,piping,,walis,floors or the curb stop boK and senrice line. in understand!am also requiev
to airtain a permit�rior to arry work,if necessary.
FINAL METER READ{A1G(old meter)���� ���
Name:_�� Address �C.J � ��Y�r�vL7v�� (��
Phoae lYumber 1 ��� l►—p� � �I�J�;�
Signatur • Witness Signature
o�D���R�_ � �7b1p�
OLD READtNG ���� ��
NEW METER# �f�22 ��03
NEW READIPlG O
E�# `"1 Z 2`�1 3 y �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muoicipal system and arry house or!wi(dir�for which the
application is made,the owner or coritrador shall be required to obtain a permit for such conaection,and shafl 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 notified. it shalf be unlawful Co cover
any connecting line urrtil an inspection has been made and such connection and the work incident ihereto has been approved by the City as a
proper and suitable connection.
4Q2.06 REPAIRS AND 941AINTEAIANCE TO COPtNECT10N
After the initiat connectiort has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been 2xtended to the property line for connection,the applica�rt,owner,or occuparrt ar user of such premises shali be fiable for ait repairs
required to any water line and sewer fines necessary#or connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenence and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibitity of the applicant,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main inciuding debris dearing or
root cutting and xo mairnain the rnrater service curb stop box for operability and at such height as wi(I ensure that it remains above the finished
grade af the iand or property. {Ref 638,1156,1191)