Meter Swap � Request Number: 15705
` Public works Division
Service Req�st
Problem Address: 315 Hugo St Requested By: Darrold Nelson
Department: WA'IER Address: No a�iress provided
Problem/Issue: INSTALL AMR METER Phone Number: � 763-438-6532
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Sc6ednle 2017-06-02 " Sc6ednled Time: 09:00:00 .
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ACITON NEEDED:Turn off water for re�ir ar�d install AMIt. �
Crexted by: Wendy Hiatt Dnte Created: 2017-06-01
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., %�*� ACTTON TAI�N:
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Statua: In Progress Submitter Has Becn r,
Contxcted
Date Completed: Completed by:
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�ite/o��r�dley 3� . ����Q�� ���
Water Departrraent
6431 lJniversity A�reroue NE �� � , /���
� F�dley,MN 55432 �-r
� 763-572-35fi6
IJwe hereby authorize the City of Frid(ey and/or its employees to do what is necessary ta
replace the water meter, t understand that the�ro�oerty owner is liab(e for the water fine from the maire to ihe premise and all irrterior
piumbing. (Per City code 402.06) 1 also hoid the Gty of Fridley and/'rts employees harmless for any damages that may occur arhtle doing this
operatio�n. This to include,but not timited to valves,piping,walis,floors or the curb stop boK and service line. In understand t am also requir�
to obtain a permit prior to arry wortc,if necessary.
FIIdAL METER READIPfG oid met r � � �v
f e ) � V
Name• Address � 1 � '��� .
Phone�lu r p� � �(
Signature Witness Signature
OLD METER# `��� I��,Idb
OLD READING ��Q�� ���
NEW MffTER# 1� 1�� (- ��q .
NEW READING__ �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,Sr4RM WATER AND SANITARY SEWER
ADMINfSTRATiON �
(6tef Ord No 113,464,565,566,629,638,G62,922,988,i144,1155,I191}
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer iine cannecting the existing municipai system artd arry house ar buiiding for which the
application is made,#he owner or con#ractar shali be required to obtain a permit for such connection,and shat!pay a permi#fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali 6e notified. It shall be untawfui to cover
any connectin�line unti!an inspection has been made a�d such connection and the work incident thereto has been approved by the City as a
groper and suitable connection.
402.06 REPAIRS AWD MAIPITENANCE TO COPINECT{ON
After the initial connection has been made to the water seroice curb stop boK or the sewer lead at the property line or a water seroice tead has
been extended to the property line for connection,the app(icant,owner,or occupar�t ar user of such premises shall be liable for all repairs
required to any water line and sewer(ines necessary#or connection 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 shatl be chat;ed for the costs af the rnairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibility of the applicant,
ow�er,occupant or user to perform standard mairrtenance of the sewer seroice Iine from the premises to the main including debris dearing or
root cutting end to maintain the water service curb stop box for operability and at such hei�ht as wiil ensure that it remains above tfie finisfied
grade of the tand or property. (Ref 638,1156,1191j