Meter Swap ` Request Number: 15929
Public works Division
Service Request
Problem Address: 8112 Fairmont Circle Requested$y: Gary V.
Department: WATER �4ddress: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-978-4951
Scheduled Date: 017-06-14 Schednled 1Time: 07:30:00
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ACTION NEEDED:
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%` °Created by: Wendy Hiatt Dxte Created: 2017-06-12
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Status: In Progress . Snbmitter Has Been r.
Cunt.�cted .
Date Completed: �_ I�_ ) Completed by: ���
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lAl'ater Departrv'certt
* 6431 lJniversity Avenue NE I
Frodley,MN 55432 �
7b3-572-356b
1/we hereby authorize the C'ity of Pridley and/or its employees to do what is necessary to
replace the water meter. (understand that the property owner is liable for the water line from the main to the premise and ali ir�te�ior
plumbing. {Per City code�02.06) I elso hold the City of Fridley a�d/its employees harmless for any damages that may ocwr while doing this
operation. This to indude,but not limited to valves,piping,wails,floors or the curb stop box and senrice line. In understand t am also require
to abtain a permit prior to arry wor�c,if necessary.
FINAL METER READING(oid meterj ����� ��
Name:�fi�IrLI " ' Address_ � ��� �Gl���/IUV�-� 5� �
Phone Number l��� - �t��- �4�j' p� �— �� — ��
Si nature Witness Sigrtature
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OLD METER# ���0�� ��
OLD READING � ` ��� ��
{VEW METER# ���� lfc U CQ
NEW REAIDlNG �
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F��o�.�r cmr co�E
CHAPTER 402.WATER,STORMI 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 eacisting municipal system and any house or buitding for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such conoection,and shafl pay a permit fee as provided in
Chapter 11 of�his Code. After such connection has been made,the Water and Sewer Department shali be notified. It shalt be untawful to cover
any connecting line urrtii an inspection has been made and such connection and the work incident thereto has been approved by the C�ty as a
proper end suitable connection.
402.06 REP,4(RS AIYD MAINTENANCE TO COPINECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice tead has
heen extended to the property line fvr sonnection,the applicarrt,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. ff the property owner
requests mair�tenance service or repairs be performed by the�ty,the property owner shall be charged for the�of the mairitenance and/or
repairs,including necessary street repairs at a rate set annual(y by an administrative policy. (t shalt be tf�e responsibi(ity of the applicant,
owner,occuparrt or user to perForm standard mairrtenance of the sewer service line from the premises to the main including slebris clearing or
root cutting and Lo maintain the water senrice curb stop box for operability and at such height as witi ensure that it remains above the finished
grade of the tand or property. {Ref 638,1156,1191)