Meter Swap w
' Request Number: 15827
Public Works Division
Service Request
Problem Address: 180 Hugo St Requested By: James Gor�n
Dep�u-tment: WATER Address: No a�ress provi�d
Problem/�ssne: INSTALL AMR METER Phone Number: 612-619-0602
Scheduled Date: 201?-06-09 Schednled 1lme: 01:30:00
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AClION NEEDED:
Created by: Wendy Hiatt Date Crexted: 2Q 17-06-07
ACTION TAI�N:
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3�:
����k- Status: ;;���'rogress ,,� 5ubmitter Hna Been �..
�� Contacted
Date Completed: Compieted by:
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�a�y�€��eae�y ;�� �1L7�����-�
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6431 i8niorersity Averoue NE ���, C��D��j
� Faticlley,MN 55432
763-572-3S66
t/we hereby authorize the C"rty of Fridley and/or its employees to do what is necessary to
replace the water meter. t a�nderstand chat the pro�serty owner is liable for tfee r�rater line from the main to the premise and alt interior
piumbing. {Per C'rty code 402.06) 1 also hakf the C+ty of Fridley and/its errrplayees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. tn understand i am atso requirE
to abtain a permit prior to arry wor�c,if necessary.
FBNA!METER READ{WG(oid meterJ O��a���
Name• Ci�7t,��'wp �b��Y� Acfdress �(.� � �
Phone lYumber��1���,'�iQo�-Dat�_ �___�1
1� �g�e Witness Signature
��D�����_ � � ��t �,0� i
OLD READlNG ( )fa�1 } CJ�/l,J
v
NEW METER# "t�i:�t.� �.7 !� �P
NEW READING� .�
E�i"f#� �� -T C�J �9
FR{DLEY CITY CODE
CHAi�TER 402.WATER,STORM WATER ANO SANITARY SEWER
ADMtNtSTRAI'tON �
(�ief Ord No 113,464,565,566,629,638,662,922,988,1i44,1156,1191)
4Q2.5 PERMIT�EE
Prior ta constructing or repair of any water af sewer line cannecting#he existing municipa!system and arry house or building for whid�the
appfication is made,the owner or contrackor shall be required to obtain a permit for such cannection,and shali pay a perm�t fee as provided in
Chapter 11 of this Code. After such connection has been made,the Wafier attd Sewer Departmerrt shaN be notified. It shal!be unlaarfu!to cover
any connecting lir�e urrti!an inspection has been made and such connection and the work incident thereto has been approved by#he City as a
proper end suitable connection.
402.06 REPAIRS AND MAIAlTE1VANCE TO CONNECTl01V
After the initiat connection has been made to the water service cu�b stop box or the sewer iead at the property hne or a water servite lead has
beert elctended to the proRerty line for connection,the applicarrt,owner,or occupar+t or aser af such premises sha11 be liable for aQ repairs
required to any water line and sewer(ines necessary for connection of the premises from the main to the premises. If the properiy owner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the mainterrartce andJor
repaFrs.including necessary streefi repairs at a rate set annually by an administrative poliry. !t sha)1 be the res�nsibitity af the applicant,
owner,occuparit or user#o perform standard mairrtenance of the sewer service line from the premises to the main inciuding debris dearing or
root cuttirtg and to maintain the water service curb stop box for operab+lity and at such height as will ensure that it remains above the finished
grade af the iand or property. (Ref 638,1156,1191)