Meter Swap a
t
Request Number: 15533
Public Works Division
Service Request
Problem Address: 7865 Firvwod Way Requested By: Tom w/Home Pri�
Department: WA'IER Address: No address provided
Problemllssue: INSTALL AMIt METER Phone Number: 612-578-3633
Scheduled I�xte: 20 7-OS-25 ScMeduled 11me: 01:00:00
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AClTON NEEDED:
Createdby: Wendy Hiatt Date Crented: 2017-OS-24
ACT�ON TAI�N:
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Status: In Progress Sabmitter Haa Been r.
Coutacted
Date Compieted. Completed by: �
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�City of Fridley �
Water Department
' 6431 lJniversity Avenue NE � y�� ��
Fridley,M1V 55432 �J
763-5T2-3566
�AWe hereby authorize the City of Fridtey and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the properly owner is liable for the water line from the main to the premise and all irrterior
piumbing. (Per City code 402.06) I also hotd the City of Fridfey and/its empfoyees harmless for any damages that may occur while doing this
operation. This to indude,but not limfted to valves,piping,walts,f{oors or the curb stop box and service line. tn understand f am aiso required
to obtain a permit priar to any work,if necessary.
FINAL METER READING(atd meterj V�� � ��,v
Name: �b w` Address � V�t! � �L��II��� ���p
Phone Number �`�Z- ` ✓��° '��3 �^"�,� " 1�
Date
Signature Witness Signature ��'
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OlD METER# ���"' 1 ���� �,Pz+f�
OLD READING �✓ � � �� ,V
NEW METER# � -i�C� �/ v� �
NEW READING `�'
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FRIDLEY C{TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,�,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing o�repair o�F any water of sewer iine connecting the existing municipal system and arry house or building for which the
appfication is made,the owner or cantractor shal!be required to obtain a permit for such wnnection,and sha{I pay a permit fee as provided in
Chapter 11 of this Code. After such connectien has been made,the tNater and Sewer DeparCme�t shall be noti�ied. ft sfiall be unlawful to cover
any connecting line u�tif an inspection has been made and wch connection and the work incidertt thereto has been approved by the C�ty as a
proper and suitable connection.
4QZ.06 REPAlRS AND MAINTENANCE TO COIVNECTIOfH
After the initiat connection has been made to the water senrice curb stop box or the sewer lead at the property ltne or a water service tead has
been extended to the property tine for connect�on,Che appficant,owner,or occupant or user of wch premises shalt be liabie for al{repairs
required to any water line and sewer lines necessary for cortnedion of the premises from the main to the premises. tf the property awner
requests maintena�ce serv►ce or repairs be performed by the City,the property owner shal{be charged for the costs of the mai�enance and/or
repairs,inciuding necessary street repairs at a rate set annuatiy by an administrative policy. It sfiaii be the responsibility of the appficarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises tv the main including deb�is dearing or
root cutting and to mair�tain the water service curb stop box fvr operability and at such hei�ht as will ensure that it remains above the finished
grade af the land os property. (Ref 638,1256,1191)
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