Meter Swap ;
Request Number: 16538
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Public Works Division
Service Request
Problem Address: 505 Janesville St Requested By: Chao
Departmeut: WA1ER Address: No address provi�d
Problemllssue: INSTALL AMR METER Phone Number: 651-335-5818
Scheduled Date: 2017=08-07 Schednled 1jme: 11:00:00
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ACTION NEEDED:
Cre�ted by: Wendy Hiatt Date Crexted: 2017-08-01
ACIION TAI�N:
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Status: In Progress Sabmitter Has Been r
Contacted
DAteCompleted: ��, �,�I� Comptetedby: � �_p
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�i�ty�ff�rid�ey �����7�� �V 7
Watea-�epart�eent J� -r/ ��ts
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� �431 lJniversity A#venue NE
Fridley,MIV 55432
763-572-3566
i/we hereby authorize the City of�ridley and/or its employees to slo what is necessary to
repiace the water meter. !urederstand that the property owner is liabie for the water line from the main to the premise and alt irrterior
plumbing. (Per ,d".�ty code 402.06) 0 also hoid the City of Fridley ar►d(its employees harmless#or any dama�es that may occur while doing#his
operation. This to include,but not limited to valves,pipirtg,walis,flours or the curb stop box and service iine. in understand i am aiso require
to abtain a permit prior to any rvork,if necessary.
FINAL METER READIRIG{oid mete� V v � � v �v
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Mame: ���� Address ��✓ .,.J��1r bt�� �j�..,
Phone Number_��I�'����' � �� Date � � � � l
Signature�cM+ WitnessSignature
09.D METER#__�;� V`�� ��
OLD READIWG � � � � � �/ �
NEWMETfR# _ � � �/� � � �0
NEW RfADING `�
ERT# � ��� ✓ ��i./ �
FRIDCEY C{TY CODE
CHAPTER 4�2.WATER,STORM WATER Ai�lD SANiTARY SEWER
ADMIMISTRATION
(Ref Ord No i13,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMlT FEE
Prior to constructing or repair of any water of sewe�line connecting the existing muniapal system and arry house or building for which fihe
application is made,the owner or comrac#or shaf(be required to ahtain a permit for such cnnnection,and shaif pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Searer Departme�shall be aot'rRed. Pt shalt be uniawful to caver
arry connecting iine until an inspection has been made and such connection and the wor&inciderrt thereto has been approved by t6e City as a
proper and suitahfe connection.
402.06 REPAIRS AND MAINTENANCE TO COPINECC{OfY
After the initial connection has been made to the water senrice curb stop(wx or tfie sewer tead at the property 1Pne ar a water seroice(ead has
been extended to the properky}ine for connection,the applicant,owner,Qr occuparit ar user�f sucf�prem�es sha{t be liabie for ali repairs
required fio any water line and sewer tines necessary#or connection of the gremises from the main to the premises. tf the property oarner
requests maintenance service or repairs be perFvrmed by the�ty,the property owner shall be charged for the rnsts of the mairrteaance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poiicy. It shall be the responsibility af the applicarrt,
uwner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main includirtg debris dearing o�
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains above the�nished
grade of the fand or property. (Ref 638,1756,1191)
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