Meter Swap ` Request Number: 15979
Public works Division
Service Request
� Problem Address: 500 Giencoe St Requested By: Sally
t'��
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-222-3467
Schedoled D�te:.__ 2017-06- � 5chedaled'Rme: 08:00:00
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'- ACTION NEEDED:
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Create�l�y: Wendy Hiatt Date Created: 2017-06-14
ACTION TAI�N:
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_..._._..._._...�_��_�.��_ ___......._.�� __
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Status: In Progress Snbmitter Hs�s Been �.,
Contacted
Date Completed: f�,,..a`-]_ f rj Completed hy: �t �
v� [ ( � �1��-
� City of�ridley Y��� J��`��(�
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t Water De�aa�trreen�
5431 l3niversity Avenue NE �� �l�-j��
Fradley,N!N 55432 ��
763-572-3566
rl'iVe hereby autharize the City of Fridley and/or its empioyees to do what is necessary to
replate the water meter. I understand that the property owner is tiabfe for the water line from the main to 3he premise and atl imerior
piumbing. (Per City code 402.A6) 4 also hofd the City of Fridtey and/'rts employees harmless for any damages that may occur while doing this
operation. This to include,but not lim'rted to vatves,piping,walts,floors or tf�e wrb stop box and service line. In understand t am also require
to abtain a permit�rior to a�ry wor4�,#necessary.
FfNAL METER READING{old meter� ai� v� ` �
Name• �Gl��� Address J vU (1�1,'E,'��l-C-f�`e �"�:
Phone�lumber �3 '���. " 3 �9�p� �-- �� `-' �, 1
�.�gnature 6Vetness Signature v
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OLD METER# I ��� G� � � 7 � �D?J��I y
OLD READiNG � �` � � ��
NEw M�-�R� �f���.�2�1 y
NE114T READtNG �
E�# "Z���, `7�v i
FRiDLEY CIl'Y CODE
CHAPTER 402.WATElt,STORM WATER AND SAAiiTARY SEWER
ADMlMISTRA7'{ON
(3ief Ord!Uo 113,4.64,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERAAiT FEE
Prior to constructing or repair of any arater o�f sewer iine mnnecting the existing municipal system and arry house or fwi(ding for which the
application is made,the owner or contrador sha116e rec{uired to obtain a permit for such cannection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall 6e nofified. it shaii be unlawful to cover
any connecting line uertil an inspecfiion has beert made and such cunnection and the wortc incider►t thereto has been approved by the City as a
groper and suitable connectiott.
4q2.06 REPAIRS APtD MAlNTENAPICE TO COWNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the praperty line ar a water senrice(ead has
been extended to the property line for sonnection,the applicarrt,owner,or occupant o�user of wch premises shai{be{iabie for ail reRairs
required to any water line and sewer fines necessary for conneetion of the premises from the main to the premises. If the Qroperty�rner
requests maintenance service or repairs be performed by the�ty,the property owner shatl be charged for the costs of the maintenance and/o�
repairs,including necessary sCreet repaPrs at a rate set annuai(y by an administrative poliry. !t shall be the responsibility of the applipr�t,
owner,occupant or user to perForm standard mairrCenance of the sewer service iine from the premises to the main inctutfing debris dearing or
root cutting and to mair�tain the water senrice curb stop box for operabii'rty and at such height as will ensure that it remains abQve the finished
grade af the land or p�operty. (Ref 638,1256,1191j