Meter Swap � Request Number: 15962
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Public Works Division
ry Service Request
Problem�ddress: 6151ronton St Requested By: Donald
, Dep�rtmen� WA'IER Address: No address provided
Problem/Issuec INSTALL AMR METER Phoae Number: 763-458-7539
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� �e��te te: 20 7-06-14 ,� Schednled 15me: 11:30:00
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��ON NEEDED:
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Created by: Wendy Hiatt Date Created: 2017-06-13
AC'IION TAKEN:
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Status: In Progress 5ubmitter R*,Been r
ContaMed :
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Date Completed: �� � � I✓�`'f Comp[et�eed b�y: (,,,, � ���
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��ter���a��en� �S'�.#� t�.�6 70
3 6431 llniversi#y Avenue NE
. Frtielley, MN 55432
7�3-572-3566
i/we hereby authorize the C'rty of Fridley and/or its employees to do what is necessary to
replace the water meter. B understand that the property owner is liable for the water line from the main to Lhe premise and all irrterior
piumbing. (Per�'rty code 402.06j I a(so hold the City of Fridley and/'its empioyees harmtess for any damages that may ocair while doing this
operation. This to indude,but not lim'rted to valves,piping,wails,floors or the curb stop boK and senrice line. In understand!�m also require
to abtain a permit prior to arry worEc,if necessary.
FINAL ME1'ER READING(old meteri � � �V� �
Name: �A�,�,(� Address Vl 1 �� U�.'�U I/� ��
Phonelvumber��J�` ��il"J� � —' �i�— �,�
Date_
� Signature �'1�,�v��P, Witness Signature
� OLD METER# _ ����� �O�
OLD READING � 1 �d L �
NEW METER# � t�� �� '�j�
NEW READING �
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FR(DLEY Cli'Y CODE
CtiAP'1'ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNISTRAT(ON
(3ief Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repaFr of any water of sewer line connecting the existing murticipa(system artct arty house or iwitding for which the
application is made,the owner ar contractor shall be required to abtain a permit for such�nnection,and shatl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the dVater and Sewer Departmeirt shali be nofified. R shalt be un(aarFul to cover
any connecting line unti!an inspection has been made and wch connection and the work incident thereto has been approved by the Crty as a
proper and suitable connection.
402.06 REPAtRS AIYD MAINTENANCE TO CONNECTION
After the initial connection has beerr made to the water service curb stop box or the sewer lead at the property lirte or a water service lead has
been extended to the property line for connedion,the applicant,owner,or occuparrt ar user of such premises shall be liable for alt repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shal!be tFie responsibility of the applicar�t,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dea�ng or
root cutting and to mairrtain the water service curb stop box for operabitity and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191j