Meter Swap Request Number: 15742
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Service Request
Problem Address: 7830 Firvwod Way Requested By: LeeAcme Wiliey
Dep�rtment: WATER Address: No address�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-919-1929
Scheduled 017-06-08 5cheduled 1ime: 07:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201?-06-OS
ACTION TAI�N:
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Status: 1n Progress Submitter Haa Been r
Co�rtacted
Date Completed: Completed by:
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cd�y o���adley iJ" � _' �G`�C �iJ"D 1
Water De�sartenent �
&431l�niversityAvenueNE �� (����
Fridley,MN 55432
� 763-572-3566
�j"Ve hereby authorize the City of Frid(ey and/or its emptoyees to do what is necessary to
replace the water meter. (understand Chat the properly owner is tiable fo�the water line from the main to the premise and all irtterior
plumbing. (Per�Pty code 4Q2.06) 1 also hoid the Gty of Fridiey a�dPts employees harmtess for arry damages that may occur while doing this
operation. This to inctude,but not limited to vatves,pipin�walis,floors or the curb stop boK and senrice line. In understand 1 am aiso requin
to obtain e permit prior to any worlc,if necessary.
FIPIAL METER READiNG(old meter) �21� 3�0
Plame° � �`•�"K. ����� Address___ l��J�,J ��W��� ��
Phone 9Yumber ����—I� � \�� Date YJ�����
Signature ''1! WitnessSignature
O�.D METER#_, � O ���
OLD READlNG _ �2 I � ��,Q
NEW METER#_ `���Z J � ��
NE1N READING O
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FRIDLEY CITY CODE
CHAt�TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRATION �
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,7,156,1191j �
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line con�ecting the existing municlpal system and arry house or building for which the
appiicafion is made,the awner or coritracter shalt be required to abtairt a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the 1Nater and Sewer Depard»eM shali be notified. It shap be unlawful to rnver
any connecting line urrtil an inspection has been made and such sannection and the work inadent thereto has been approved by#he Crty as a
proper and suitabie connection.
402.05 REPAfRS AND MAINTEA/ANCE TO COMPiECT10111
After the initial connection has been made to the water service wrb stap boK or the sewer lead at the properly ltne or a water senrice lead has
been extended to the property line for connection,the applicarrt,owner,�r occupant or user of such premises sFiall be liable for all repatrs
required to any water line and sewer lines necessary for connection of the premises from the main fio the premises. ff the property otvner
requests mairrtenance service ar repairs be performed by the City,the property owner shall be charged for the casts of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appitprrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the uvater service curb stop box for operabil'�ty and at such height as wili enwre that it remains above the finished
grade af the land or property. (Ref 638,1156,1191j