Meter Swap - ' Request Number: 12860
PubHc works Division
Service Request
Probiem Address: 7469 Hayes St Requested By: Willi�n Delfs
Departmeat: WATER ��s: 7469 Ha}�ea St
Fridley,MN 55432
Problem/I�aue: INSTALL AMR ME1ER P6one Nvmber: ?63-7'72-4010
Sc�eduled Date: l 7-Ol-20 Schedaled Tlme: 08:00:00 '
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ACTION NEEDED:Instatt AMR
Created Iry: Hcth Kondrick Date Cre�ed: 2017-01-13 '
ACIION TAIiEN:
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5tatus: In Progress 5nbmittec Ii�Heea C,
Coutncte�
Dnte Com�eted: Completed by:
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�oL}y or frsaoey
Water�epartareent � � � � �� L� /
6431 University Avenoxe Pl� � /
Fridley,MN 55432 `�����-�G}f��,��(��--- ��
- ` 763-572-3566
,�"'�e hereby authorize the C'rty of Pridtey andjor its empioyees to do whai is necessary to
repiace the water meter. f understand that the property owner is liabie for the water line f�om the main to the premise and all interior
plurtsbing. {Per City code 402.�6) 1 also hold the City of Fridley andjits emptoyees harmiess for any damages that may occur while doing this
�peration. This to include,but not limited to vaives,piping,wal{s,floors or the curb stop box and service tine. in understand 1 am alsa required
to obtain a permit prios 4o any wort�,if necessary.
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FttdAL METER READf�IG{ald meterJ �-�
Name: ��1 , �, � Address �� t I lw � ��
Phone Wumber�b�y ���� ��� Date f � 1
Signature `------__._._.�......._,_
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YVitness Signature
o�o nner�R# � � � �J �--C..�''��
OLD READtNG ��� �� �,'�/
NEW METER#__ t� t � �� 7��
NEW READING �
ERT#_�D1UJ�� � ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAfiY SEWER
ADMN111STRATION
(Ref Ord No 113,464,565,566,529,638,662,922,988,1144,i156,1191j
4Q2.5 PERMIT FEE
Prior to coastructir�g or repair of any water of sewer line cennecting the existing muniapat system and arry hause or buiiding fo�which the
application is made,the owner or corrtractor sha({6e required to obtain a permit for such connection,and shall pay a permitfee as provided in
Chapter 11 of this Code. After sucfi connedion has been made,the Water and Sewer Departme�rt shali be notifiecf. It shait be un[a�rfui to oover
any connecting line untii an inspection has been made and such connection and the work inciderrt thereto has been appcoved by the Cty as a
prvper and suitable connection.
402.a6 REPAIRS AAID MAfNTENANCE TO CONNECTfON
After the initial connection has been made to the water service curb stop!wx or the sewer lead at the property iine or a water service(ead has
been extended to the property I�ne for cannection,the appiicarrt,owner,or accupant or user of such premtses sha[t be liabit for a!f repairs
required to any water line and sewer Ijnes necessary for connectivn of the premises from the main to the premises. ff the property owner
requests main#enance senrice or repairs be performed by the C'rty,the property owner shall be charged for the costs of the mairrtenar�ce andior
repairs,including necessary street repairs at a rate set annuaily by an administrative pofiry. It shail be the responsibility of the applicarrC,
owner,occuparrt or user to perform standard maintenance vE the sewer senrice line from the premises to the main inciuding debris clearing or
root cutting and to mairrtain the water service curb stop box for operahility and at such height as wiN ensure that tt remai�above tfie finished
grade af the tand or property. (Ref 638,1156,1191�
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Adcl�.sx: 7+W9 HAYES'SrT t� �c F�xin�e: 7fi3-�b0-�tl7
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