Meter Swap �
� Request Number: 16520
Public works Division
Service Request
Problem Address: 541 lronton St Requested By: Derek Hudek
Department: WATER Addreas: No address}xovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-437-6774
Scheduled Date: 2017-08 1 Sc6ednled'Iime: 02:00:00
ST �
ACiTON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-31
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been r,
Contacted
Date Completed: Completed by:
Hours � f�r
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6431 l9niversity!#venue NE
Friciley,MIV 55432
763-572-3566
�,"'�� hereby authorize the City of Fridley andjor its empioyees to do what is necessary to
replace the water meter. i understand that the pmperty owner is liable for the arater line from the main to the premise and all interio�
plumbing. {Psr�C'rty code 4�Z.06) 4 atsa hold the City of Fridiey and�ts employees harmfess for arty dama�es that may cccur while doing this
operation. This to include,but not{imited to valves,pipin�walis,floors or the turb stop box and senrice line. in understand i am aiso require
to obtain a germit praor to any work,if necessary.
F1NAt METER READtPiG(old meterJ � � �1��
N�me:� 1(�� �V rl—� AdQress �— 1,\ �/tl� V�
Phone Number ` �^ ���� � �" ��
Signatur �= _ �—...-_._..._. iNit►�sess Sygnature
OLD METER# ��� ` L � � r
su.�b rl Q�t�- �.�-s
OLDREADING �� 1 ZC.�2O �� �J'/,�y�
WEW METER#_�'�,������ �
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FRIDLEY CITY CODE
CHAi�TER 402.WA7'ER,ST�RM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMlT FEE
Prior to constructin�or repair of arnl water of sewer tine connecting the�xisting municipai system and arry house ar buildtng for+�rhich ihe
application is made,the owner or cor�tractor sha{(be required to obiain a permit far such connection,and shatl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shal(be notified. It st�alf be un{awfui to cove�
any connecting fi�e until an inspection has been made and such connectior�and the work inciderrt tfiereCo has been approved by#fte City as a
proper and suita6le connection.
402A6 REPA(RS AND MAI411'i'EMANCE TO CONNECTION
After the initia{connectiort has been made to the water senrice curb stop box vr the sewer lead at the property line ar a water service dead has
been extended to the property line for connectaon,the app(icarre,awner,or occuparit ar user of such premises shalt be liabfe for all repairs
required to any water line and sewer{ines necessary for connectiort of ti�e premises from the main to the premises. If the property owner
requests mairrtenance service ar repairs be perFormed by the�ty,the property owner shalt be charged for the casts af the maintenance and/ar
repairs,inciuding necessary street repairs at a rate set annua(ly by an administrative policy. ft shall be the responsibil'rty of the applicar�t,
owner,occupant or user#o perForm standard mairrtenance of the sewer service iine from fihe premises to tf�e main including debris c(earing o�
rvot cutCing and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade af the land ar property. (Ref 638,1156,1191)