Meter Swap � Request Number: 15719
Public Works Division
Service Request
Problem Address: 8104 Fairmont Circle Requested By: William Gorman
Department: WA'IER Address: No address provided
Problem/Isaue: INSTALL AMR METER Phone Nwmber: 612-790-1950
Scheduled Date: 2017-06-OS 5cheduled 13me: 11:30:00
i
ACTION NEEDED:
Created by: Beth Kor�drick Date Created: 2017-06-02
ACTION TAI�N:
_...I �,S�c�,�._� .!�_�'�...__......__.._........__. ___-- . _
Status: In Progress Snbmitter Has Been r
Coutacted
Date Completed: Completed by:
�o� �- ``�l ��y t�r
U �
�ity o��r6dley
• lA/a�er Departnaent �I�� � �.��� �� '
y 6431 lJniversity Avenue NE
Fa-idley,MN 55432 S'� � ���6
763-5T2-3566
��""�e hereby authorize the C'ity of Fridtey and/or its employees to do what is necessarq to
replace the water meter. I understand that the property owner is liab(e for the water line from the main to the premise and ali ir�terior
plumbing. (Per City code 402.06) t also hold the C'ety of Fridiey andjits employees harmless for arry damages that may occur while doing this
operation. This to indude,but not limited to va(ves,piping,walis,floors or the curb stop boK and service line. In understaod!am also requin
to abtain a permit prior to any work,if necessary,
FINAL METER READING(old meter) 2J-t`�3 2� 0
Name: ��� V�I��I11� V ����tiPf�� Address 1� ���'1��.�W �1�
�
Phone Number _1O� ✓���� �O V D� '��'� 1
�5i�re___W��X -s�t=�_—,.
- Witness Signature
OLD METER#_ I Z� � � �b g
OLD READING �-_I � �j �6
P1EW NfETER# ,"'�'" 1���-I �I
NEUF/READING�
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E4�'T# _� 1��� � l�� 1
FRIDLEY CITY CODE
CHAI�TER 402.WATER,ST�JRM WATER AND SANITARY SEWER
ADMINlSTRATIORI �
(Ref Orct No 113,4f�,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 municipal system and arty house ar buifding for which the
application is made,the owner or contrador shalf be required to obtain a permit for such con�ection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Departmerrt shali be notfied. It shall be un(awfui to cover
any connecting line until an insQection has been made and such connection and the work inciderrt thereto has been approved by the C"rty as a
proper and suitable connection.
40Z.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connection has been made to the water senrice cur6 stop box or the sewer iead at the property line or a water seroice lead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of such premises shall be liable for alf repairs
required to any water line and sewer lines necessary for connection of the p�emises from the main to the premises. ff the property owner
requests maintenance service or repairs be gerformed by the tity,the property owner shail be charged for the casts of the mairrtenance and/o�
repairs,including necessary stree#repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applicarrt,
owner,occupam or user to perform standard mairrtenance of the sewer service line from the premises to the main inciudtng debris clearing or
root cutting and to maintain the water service curb stop box for operebility and at such height as will ensure that it remains above the finished
grade af the Iand or property. (Ref 638,1156,1191j