Meter Swap ,
Request Number: 16198
Public Works Division
Service Request
Problem Address: 579 Hugo St Requested By: Bill
Department: WA1ER Address: No address provi�d
Problem/Issae: INSTALL AMR METEK Phone Nu�mber: 763-?80-3659
Schednled Date: 2017-0 -07 � Sc6ednled 13me: 10:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-29
A ON TAI�N:
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Status: In Progress 5ubmitter Has Been �.
Contacted
Date Completed: Completed by:
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Ci�y�f Fridley ��� � f���
Water Department 1
6431 University Avenue NE
Eridtey,MPI 55432
763-572-3566
IJwe hereby authorize the City o#Fridtey and/or its employees to do what is necessary to
repiace the water meter. I understand that the property owner is tiable for the water line from the main to the premise and ali ir�terior
pium6ing. {Pes City code 402.06) 0 also hold the City of Fridtey and/its employees harmfess tor arry damages that may oc�ur while doing this
operation. This to include,but not{imited to vafves,piping,wails,floors or the curls stop box and service line. in understand!am also required
to obtain a permit prFor to any work,i#necessary.
FINAL METER READIN6(old meterj ���tL""'"'
Mame:-- 4-\(� Address � o �
Phone Number �cJr��J� J'���Oate�'��^ Y 1
�Signature Witness Signature v
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OLDMETER#_ 1. F��I ���
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OlD READIING ��JI.J
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NEW METER# � {�J c.� ���
PIEW READiNG 1�
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�RiDLEY CI'PY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMlT FEE
Prior to constructing or repair of arry water of sewer{ine connecting the existing municipal system and any house or buitding for which the
application is made,the owner or contractar shall be required to obtain a permit fior such connection,a�d siwil pay a permit fee as provided in
Chapter 11 of this Code. After such connection has i�een made,the Water and Sewer Departmerrt shail be notified. It shall be unlawFu4 to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Clty as a
proper and suitable connectioa.
402.06 REPAIRS AND MAINTENANCE TO CONNEC110N
After the initiai conoectio�has been made to the water senrice curb stup(�ox or the sewer lead at the property Itne or a water service lead has
been eutended to the property line for connection,the applicant,owner,ur occupant or user of such premises sHail be liabie for al(repairs
required to any water line and sewer lines necessary for connection of the premises from the mai�to the prem'sses. if the property owner
requests maintenance service or repairs be performed by the C'rty,the properiy owner shail be charged for the cosls of the mairrtrnance andJo�
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shali be the responsibi►ity aFthe applica►rt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to tfie main including debris cfearing or
root cutting and to maintain the water service curb stap box for operability and at such height as will enwre that it remains above the finished
�rade af the land or property. (Refi 635,1156,1191j