Meter Swap . ' Request Number: 12990
Public Works Division
Service Request
Problem Aeddress: 7356 Hayes St Requested By: Brian Krugen�d
Deputment: WATER Address: No address pro�ded
Problem/Tsaue: INSTALL AMR METER Phone Number: 763-786-4092
Schednled Date: 201 01-24 �� Schednled Tlme: 01:00:00
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� ACTTON NEEDED:
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Created by: Wendy Hiatt DxEe Created: 2017-01-20
AC'IION TAI�N:
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Status: �pro�� Sabmitter H�Been r.
Contacted
Date Completed: �""a�`�,� Completed by: ���_'_ /
Ctr•
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iNa#e�-De�artrnent
6431 lDniversity Avee�ue NE �n']— S�;� s„3O " ��
Fridtey,MN 55432
. _ . 753-572-3566 C � '� I LI L�
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���e hereby authorize the Ciiy of Fridley andJor its empioyees to do what is necessary to
replace the water meter. I understand that#he propea�ty owner 9s liabte for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06j i also hold the C"rty ot Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,bufi not Bimi#ed to valves,piping,walls,floors or the curb stop box and service iine. In understand 1 am aiso require�
to obtain a permit prior to arry wortc,ff necessary.
FIAtAL METER READING(ofd meter) �� � � � p`�
�iame: ��d�^�'V1 � �t�� Address ¢� � �ll? �Cw�L'Lo,� �_
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Phone Numher ��� V � � �� l �pafie � � ��� ��
Signature Witness Signature `�1
OLD METER# ��� I; � J -1
OLD READtNG �� � � � �v
NEW METER# �� �` � ( � I
NEW READING �
ERT# �G v�� �7�U '
FRIDLEY CISY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,I156,1191j
402.5 PERMIT FEE
Prior to oonstructing or repair of any water of sewer line connecting the existing munic�pal system and acry house ar bu�{dis�for whicfi the
appiication is made,the owner or corrtractor shatl be required to obtain a permit for such coenection,and shall pay a permit fee as provided i�r
Chapter 11 of ihis Code. After such connection has been made,the Water and Sewer Deparbner�t shall be n�ed. it shatl be untawful to coaer
arry coonecting line until an inspection has been made and such connection and the work inciderrt thereto has been appcoved by�►e City as a
proper and suitabte connection.
402.U6 REFAIRS AAID MAfA1TENANCE 70 COWNEC770N '� .
After the initial connection has been made to the water senrice cu�b stop box or the sewer lead at fihe property iine or a wa�r service Iead fias
been extended tv#he properiy line for conneciion,the appticarrt,owner,or accuparrt or user of such premises shatl be Iiable for ali repairs
required to any water line and sewer fines necessary for connection of the premises from the main to the premises. if the property owner
requests mainienante service or repairs be performed by the City,the property owner shali be charged for the costs of the mat�rtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrafive poticy. it shall be the responsbility o�f the applicartt,
owner,vccuparn or user to perform standard mair�tenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain Xhe water service curb stop box for operability and at such height as wiU ensure that it remains above the finished
grade of#he land or property. {Ref 638,1156,1191)