Meter Swap - Request Number: 15905
Pubaic Works Division
Service Request
Problem Address: 7892 Firwood Way Requested By: Diane Moen
Department: WA1ER Address: No ad�ess p�ovided
ProblemiIssue: INSTALL AMR METER Phone Number: 763-427-3046
Scheduled D�te: 2017-06-15 Scheduled 1lme: 02:00:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-09
ACTION TAI�N:
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Status: In Progress Sabmitter Has Been r.
Contacted
Date Completed: Compteted by:
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b431 l�niversi#y Avenue NE
� ErBd1eY,MON 55432
763-572-3566
d/we herebq autfiorize the Cty of Frid(ey andJor its empioyees to rio what is necessary to
replace the water meter. t understand that the�sroperty owner is liable for the wrater line from#he maire to the premise and ait interior
piumbing. (Per�ity�ode 402.06} !also hold the Cii.y of Fridley andj'rts employees harmless for any damages that snay acsvr wfiiie doing this
operatian. This to indude,but not limited to valves,piping,wails,flaors or the wrb stop box a�d service line. In understand i am alsfl require
to oirtain a permit pr6or to arry work,if netessary.
FINA!METER READIN6(otd mete�) � �����
Name� � Address y�� ��(�}(�.�
Phone�tumber�Y.��� '�{, l� 1�� � Date . � Y� 1
Signature���� Witness Signaivre
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OlD METER# � L L �✓ ����
O!D READING � �����
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FRIDLEY CITY CODE
CHAPTER 402.WATER,StORM WATER AND SANlTARY SEWER
ADM{NlS7RATION
{�tef Ord Plo 113,�64,SfiS,566,629,638,b62,922,988,I144,1156,1191)
4�2.5 PERMI'T FEE
Prior to�constructing ar repair of any water of sewer tine connecCing the euisting municipal system and any house or twiMing for which the
appiicat�on is made,the owner or corrtractor shail be required to obtain a permit#or such oonnection,and shail pay a permit fee as provided in
Chapter 12 of this Code. After such connection has been made,the Water and Sewer Departmerrt shatl be notified it shail i�unlawful to cover
any connecting tine urttit an inspection fias heen snade and such connection and the work inadent thereto has been approred by the City as a
proper and suitable connectivn.
402.06 R£PAfRS AIVU MRINTENANCE TO CaPINECTiQN
After the in'rtiat connection has been made tv the water service cu�b step box ar the sewer fead at the property line or a waCer service lead has
been eactended to fihe property line for connectian,the appticarrt,owner,or ac.cupant or user af such premises shall be tiable frn al(repairs
required to any water line and sewer tines necessary#or connedion of the premises from the rrzain to the premises. ff the property owner
requests maintenance service or repairs be perEormed by th�C"rty,the property owner shaif be charged for the costs af the mairrtenaace and/ar
repairs,including necessary street repairs at a rate sefi annually by an administrative poltcy. It shall be the responsibitity of the applicarrt,
owner,occupaat or user to perform standard maintenance of the searec ser+rice line from tfie premises to th+e main incfuding debris dearing or
root cutCing and To maintain fihe water service curh stop box for operability and at such height as wifi ensure that ifi remains abave fifie finished
grade a�f the land or property. (Ref 638,1156,1191)