Meter Swap t Request Number: 15952
Public Works Division
Service Request
Problem Address: 645 Fairmont St Requested By: Don Hilson
Department: WATER t�ddress: No adcfress�xovi�ed
Problem/Iasue: INSTALL AMR METER Phone Number: 163-786-7180
,?` ,�Sctieduled t • 201?-0 4 � 5che�uled'iime: 08:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-13
ACIION TAI�N:
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Status: In Progcess Submitter Has Been � �
Contacted ;�;,,;
Date Comp[� j„ � � �t� Compteted by: `a �
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� �iiy of F�cltey � � C�l�-�
Water Departrneret
i 6431�lniversity Avenue NE � �� ����'��� � � �
fr�dley,M6N 55432
763-572-3566
a�'Ne hereby authorize the City af Fridley and/or its emptoyees to do what is necessary to
replace the water meter. (understand that the property awner is liable for the water line from the matn to the premise and all im:erior
plumbing. (Per�Lity code 40Z.06j I also hold the City of�ridleq and/its employees fiarmless for any damages that may ouur wh7e doing this
operation. 7his to indude,but not limited to valves,piping,walts,floors or#he curb stop box and service line. Irt understand 1 am also requin
to obtain a permit prior to any work,if necessary.
FfNA!METER READING(old meter) " ` "`� (� �"
Name: _ D(�0�� �4 1, � Address__ �" 6 J �`.(��(�� �'"
Phone lYum6er�,�� l VlY � I w D� �� l�-'�— (,�
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Signature Gt� � �1-� Witness 5ignature +'
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OLD METER# _ t�vV �0� I
OLD READtNG ��v � ` ��
NEWMETER#_�����aGQ (
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NEW READtNG U 4, .>
ERT# �ol�J� �C�C�I�
FR[DLEY ClTY CODE
CHAPTER 402.WATER,STORM WA7ER AND SANITARY SEWER
ADMINISTRATIOPt
(Itef Ord No 113,454,565,556,629,638,562,922,988,1144,1156,1191)
4�2.5 PERMIT FEE
Prior#o constructing or repair of any water of sewer line connecting the existing municipa(system and arry house or buiiding for which the
application is made,Che owner or contractor shall be required to abtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection fias been made,the Water and Seaver Departmerrt shali be notified It shail be unlawful to cover
any co�necting line untii an inspection has been made and such connection and tfie work incident thereto has been approved by the Crty as a
proper and suitable connection.
402A6 REPAiRS AND MAINTENANCE TO COPINECTION
After the initial connection has been made to the water service curb stop box or the sewer tead at the property tine or a water servlce I�ad has
been extended to fihe property line for connectton,the applicarrt,owner,or occupant ar user of such premises shall be(iable for all repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shail be charged for the costs of the mair�tenance and/ar
repairs,including necessary street repairs at a rate set annually by an administrati�e poliry. It shal!be the responsibility af the applicant,
owner,ocwpant or user to perform standard mair�tenance of the sewer service line from the premises to the ma'sn inctuding�iebris dearing or
root cutting end to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade afi the land or property. (Ref 638,1156,11911 .
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