Meter Swap Request Number: 16266
Pablic works Division .
Service Request
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em Address: 631 Janesville St Requested By: Travis Klersy
partment: WATER Address: No address p�ovided
Problem/Isaue: INSTALL AMR METER Phone Number: 651-717-5390
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ScheduledDate•. 2017-07-11 Sc6ed edTlme: OI:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-07
ACTION TAi�N:
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Status: In Progress Snbmitter Has Been r,
Co�acted
Date Completed: `"'7_ I��, '�f Completed by: ( _
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K City of Fridley f�� l,��(�(L
Water Department J � � T
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the Clty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
p{umbi�. (Per City code 402.06) I aiso hoid the City of Fridley and/its employees harmiess for any damages that may oaur whil@ doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop boz and service line. In understand 1 am also required
to obtain a permit prior�o any work,if necessary.
FINAL METER READING old meter ��� � ���
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Name• ' w�/` � Address Vd U I ���i J��'tV'�
Phone Number `+���~ U� G~�J�O. D� ��� l� � �
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.�Signature J�.2�,J� WitnessSignature
OLD METER# �+� �/ � � ��
OLD READING v�`�I ���/
NEW METER# ��35 �S C�(�a
NEW READING O
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FRIDI.EY CITY CODE
CHAPTER 402.WA1TER,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 municipal system and any house or building for which�e
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be not�ed. It shall be uniawful to Cover
any connecting line unti{an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONIYECTtON
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 lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be itable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property 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 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 maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operabii'�ty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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