Meter Swap ,
� Request Number: 16000
Public Works Division
Service Request
�* -> Problem Address: 570 Hugo St Requested By: David Dickey
�:�+f. Department: WATER Addre�s: No address p�ovided
�.ProblenQ/Issue: INSTALL AMR ME1ER Phone Number: 763-249-5762
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Schednled Date: 2017-06-19 Schedded 1lme: 07:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-15
ACTION TAi�N:
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Status: Tn Progess Submitter Has Been r .
Contacted
Date Completed: Completed by:
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, 8431 tJrsiversity Aver�ue NE �� � �j,
Fr�dPey,MN 55432 �� ✓'
7fi3-5�2-3566
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1/eae �U ' i G � hereby authorize the C�ty af�-idley artd/or its empbyees to do what is necessary to
repiace the water meter. i understand that the pro rty owner is diab(e for the water line from#he main to the premise and ati i M eri or
plumbing. �Per�'�ty code 402.06j i�Iso hotd the Ci of Fridley and/its employees harmless for any dama�es that may occur whi(e doing this
operation. This to include,but not lim'rted to valves,piping,walls,floors or the curb stop box and service line. In understand t am aiso requie�
to abtain a permit prior to any wor�c,if necessary.
FIPIA!METER READING(old meter) �! �v
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Name:-'"�.t/�\ ;�'���'�' Address v�� i 1 V Q � � �•
Phone 9Yumber`�� " �-�g �Zp�
Signature Witness Signature_�bl�'
OLD METER#_�`�i)� �I lj� �
o�D�EAD�NG_�'7 bQ?p
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NEW READ(NG �
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FRIDLEY CITY CODE
�iiAPTER 4t?2.WATER,STORM 1RIATER AND SANlTARY SEWER
l�DMINISTRATION
(�tef Ord Nr�113,4fa4,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE ,
Prior to constructing or repair of any water of sewer line connecting the exist��rrg municipa!system arid arry house or bu�7ding for whith i�e
application is made,the owner or corrtractor shatt be required to obtain a permit for such cunnection,and shatt pay a permit fee as provided in
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmerrt shal(be notified. It shai(be un(aarfut to cover
any connecting line until an inspection has been made and such connection and the work intider�t ttiereto has been approved by the Crty as a.
proper and suitable connection.
402.06 REPA(RS AND MAINTENANCE TO CONWECTION
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 serviae teail,has
6een extended to the prvperty line for connection,the app(ipnt,owner,or osxupar�t ar user af wch premises shall be liable for ail repairs
required to any water line and sewer lines neeessary for connection o#the prerrtises from the mairt to the premises. tf the property owner
requests mai�tenance service or repairs be performed by the City,tt�e property owner sha(i be charged for the costs of the mairif�nance and/or
repairs,i�cluding necessary street repairs at a rate set annually bg an administrative poliry. It shall be the responsibitity of#he app(icant,
owner,occupant or user to perform standard mairrtenance of the sewer seevice line from the premises to the main induding debris clearing or
root cutting and to mairrtain fihe water service curb stop box for operability and at such height as will ensure that it remains abo�e the finished
grade af Lhe land or property, (Ref 638,1156,1191)
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