Meter Swap , Request Number: 15894
4
P11�IC WOI'kS DIV1SlOi1
Seivice Request
Problem Address: 389 Hugo St Requested By: Ward
Department: WA'IER Address: No a�ress provided
Problem/I�sue: INSTALL AMR METER Phone Number: 612-309-4695
Scheduled Date: 2017-0 -12 � Schednied 1Ime: 08:30:00
�
ACTiON NEEDEII:
'�"�.G.
Created by: Wendy Hiatt Date Created: 2017-06-09
ACTION TAKEN: �
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Status: �n Progress Submitter H,As Been r
Contacted
Date Completed: Completed by:
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�ity of Fr6clley �g'' �d� K-� ��
Water Departmen�
, b431�n6versity As�eraue IVE �D� � / �� �
Fr6c91ey,MN 55432 �'f
� 7f3-572-3566
�/"Ve hereby authorize the City of Fridley and/or its emptoyees to do what is oecessary to
rep(ace the water meter. t understand that the prop�erty owner is liable for the water line from the main to N�e premise and all irrterior
plurnbing. {Per�ity code 402.06) 1 also hold the City of Fridley and/'rts empioyees harmless for any damages that may ocwr while doing this
operation. This to incleade,but not!im'rted to aalves,pipirtg,watts,floors or the curb stop box and senrice line. in understand i am atso require
to abtain a permit prior to arry worEc,if�ecessary.
FINAL METER READlNG(old meter�� F �� ��
Name:-�p� Address � O
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Phone Number_� Y 1��� SG�► �
�5�� Wit �ssSignature
oLD NlETER#�� � G.� �g � �
OLD READING �� `"1� `'i�
IVfW METER# —1 1���� �Z
NEW READING O
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(ltef Ord No 113,464,565,566,fi29,638,662,922,988,1144,1156,i191j
402.5 PERMIT FEE
Prior to�onstructing or repair of any water of sewer line connecting the existing municipai system and arry house or Iwilding for which the
application is made,the owner or contractor shall be required to obtain a permit for such�nnection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Departmerrt shali be notified. It shail be unlawful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved 6y the City as a
proper and suitable ca�nection.
40Z.06 REPAIRS AIYQ MAIMTENAfYCE 70 CQIYNECT101M
Affier the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service tead has
been extended to the property line for sonnecfion,the applicant,owner,or accu�arrt ar user of such prem�ses shall be liable for a!t repaErs
required to any water li�e and sewer lines necessary for conneetio�af the premises from the main to the premises. tf the property oarner
requests maintenance service or repairs be perfarmed by the C'rty,the property owner sha(1 be charged for the�of the mairnenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water senrice curb stop box for operabitity end at such height as will ensure that it remains above the finished
grade af the iand or property. (Ref 635,1156,1191)