Meter Swap ' Request Number: 15881
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Pi1�IC w01'kS�IV1SlOri
Service Request
Problem Address: 610 Hugo St Requested By: Dave Goshe
Department: WATER Address: No address�ovi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-433-9243
Scheduled Date: 2017-06-13 Scheduled 1lme: 10:00:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-06-08
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contxcted
Date Completed: Completed by:
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�iiy o#Fridley ���� �//�
� Water Depaa-tment �� —��
• 6431 lJniversity Avenue NE C�,�„� �� O I
Fridley, MIV 55432 J"-tt
763-572-3566
I/we hereby authorize the C�ty of Fridley and/or its employees to do what is necessary to
reptace the water meter. t understand that the property owner is liabfe for the water line from the main to the premise and atl ir�terior
piumbing. (Per C'ity code 402.06) 1 also hold the C'rty of Fridley a�dJits employees harmless for any damages that may occur while doing this
operation. This to inctude,but not limited to vaives,piping,walts,floors or the curb stop box and service line. in understand t am afso required
to abtain a permit prior to arry worbc,if necessary.
FINAL MEI'ER READIN6(oid meter) ��� � `U
Name: _ �q(V� Address� �D �� �
Phone Number��'� 4����-1�� � ^ 43'� ��
Signature, / �-� Witness Signature
OlD METER# � I.��'� fJ���
OLD READING _ ��� !��_
NEW METER# � 1�2� _ ` �
NE1IV READING�
E�# _� ti22 �I i ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATiON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and any house or building for which the
application is made,the owner or contractor shali be required to obtain a permit for such connection,and shall pay a permtt fee as pro+rided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shaif be natified. It shail be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been appr�ed by ihe�iy as a
proper and suitable connection.
�02.U6 REPAIRS AND MAINTENANCE TO CONNECTION
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 service Jead has
been entended to the property line for connection,the appficant,owner,or occuparit or user of such premises shall be IiaWe for all repairs
required to any water line and sewer lines necessary for connection of the premises from ttfe main to the premises. tf the pro�erty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repatrs at a rate set annually by an administrative polFry. !t sha116e the responsibility aF the applicarit,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main including debris clearing or
root cutting and to matntain the water service curb stop box for operability and at wth height as will ensure that it remains above the frtishec!
grade of the(and or property. (Ref 638,1156,1191)