Meter Swap �
v Request Number: 15459
Public works Division
Service Request
Problem Address: 180 Hartmann Circle Requested By: Kirk Jeffrey
Department: WATER Address: No address provid�ed
Problem/Issae: INSTALL AMR METER Phone Number: 612-297-2461
Scheduled Date: 2017-OS-25 5c6ednled 13me: 07:00:00 9„
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ACIION NEEDED:
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Created by: Beth Kondrick Date Crested: 2017-OS-18
ACIION TAI�N:
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Status: In Progress Submitter Has Beea r
Contacted
Date Com�eted: Complet�d by:
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City of Fridley
Water Departrnent �," � /`7 �
6431 University Avenue NE �7 ?i
Fridley, MN 55432
763-572-3566
��We hereby authorize the C�ty of Fridley and/or its employees to do what is necessary to
replace the water mete nd that the property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) 1 also hold the City of Fridiey and/its employees harmless for any damages that may ocwr while doing this
operatio�. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN6(old meter) �� �7� �Co v
Name:_ fC:rIC vC�y Address �Du ya'",�n'�o�*'� C.l r.
Phone Number �l� � a�7 "��{�O� Date �fo �� O�7
Signature Witness Signature
OLD METER#__ GID� �l�j3 3
OLD READING �� � —' Sn� �"'�� (� a'' "" `� v G�`
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NEW METER# � !��y�
NEW READING (/
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F�io�r cinr co�E
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,9f2,,988,1144,1156,1191)
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402.5 PERMIT FEE
Prior to construding or repair of any water of sewer fine connecting the existing municipal system and arry house or building for which the
appiication is made,the owner or cciqtractor shall be required to obtain a permit for such wnnection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After wch°connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable�nnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or ocpipant or user of such premis�shall be liable for ail repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�rtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)