Meter Swap .
�, Request Number: 15902
Public works Division
Service Request
Problem Address: 7872 Firwood Way Requested By: Bruce Miller
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phoue Nwnber: 763-571-1296
SchedW ed Date: 2017-06-12 5cheduled Time: 07:00:00
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ACIION NEEDED:
Created by: Beth Koadrick D�te Cre�ted: 2017-06-09
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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�di:y a�#�radle�y ��'7 � ,/'�� ��J" +V�
a UVa#�r Departr�ent � �V�
�39.l�niorersity Avenue NE �, -rj��
, Fa�d4ey,MN 55432
763-572-35C6
',°Ne hereby authorize the Crty of Fridley and/or its empioyees to do what is eecessary to
replece the water meter. !understand that the property owner is iiable for Che water line from#he main to the premise and ali irterior
plurnbiag. (Per�Lity code 402.06j i also hold the City a�F Fridfey and/its employees harmtess for any damages that may occur while doing this
operation. This to indude,but not timited to vatves,piping,waits,floors or#he curb stop box and service line. In undersCand!am also require
to o6tain a permit prio�to any work,if necessary.
FINAL ME'TER READtNG(otd meterj r� �L� [/�D
Name•_ �W�i ��� Address � Y'� �W�IX�
Phone9Yum6er�`� ���^' �� p� � �,��`�
�Signatuce Witness S�gnature
OLDN6ETER# -4i0 ��-1 ` ( �
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111EW METER#_""1� (���� ��
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FRtDLEY CITY CODE
CHAPTER 402.WA'�ER,STORM WATER AND SANlTARY SEWER
ADMtlNISTRATION
(Ref Ord No 113,454,565,566,629,fi38,662,922,988,1144,1156,1191j
4Q2.S PERMIT FEE
Priar to constructing or repair of any water of sewer iine conrtecting the existang municipat system and arry house or huitding for which the
application is made,the owner ar corrtractor shalt be required to obqin a permit for suth connection,and sf►ati pay a permit fee as provided in
Chapter 11 of 4his Code. After such connection has been made,the Water and Sewer pepartme�rt shali be noti�ied. ft shafl be unlawful to cover
any connecting line untit an inspection has been made and such cortnection and the wor(c inciden#thereto has been approved by the C'ity as a
proper and witable connection.
402.06 REPAIRS AND MAINTEPIAtYCE TO COAIfVEC1'IO1N
After the initiai connecCion has been made to the water service curb stap box ar the sewer lead at the property iis�e or a water senrice lead has
been extended to fihe property iine for connection,the app[icaM,owner,or occupar�t or user ef wch premises sfiai{be liable for all repairs
required to aay water tine and sewer lines necessary for conneetion of the premises from the main to the premises. tf the pmperty owner
requests maintenance service or repairs be perfvrmed by the Crty,the property owner shall be charged for the costs af the maiotenan�andior
repairs,inctuding necessary street repairs at a rate set annually bg an administrative poliry. ft shail be ihe responsibility of the app{icant,
owner,occupant or user to perForm standa�d mairrtenance of the sewer service line frvm the premises to the main inc{ucling debris dearing or
root cutting and to mairrtain the water service curb stop box for operabitity and at such height as wiU ensure that it remair�s alaove the finished
grade of the land or property. (Ref 638,1156,1191]