Meter Swap ,
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Request Number: 16286
� Public works Division . . �
Service Request � � � �
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Problem Address: 543 Janesville St Requested By: Vang .
.Departmeirt: � WA'IER �ddress:' No address provi�d �
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'Probtem/Issue: INSTALL AMR METER Phone Numbe�: . 651-285-8911 • . �
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Scheduled Date: 2017-07-17 � � Schednled Time: 08:30;Q0 , . � • � �`
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ACTION NEEDED: • .
� Created by: Wendy Hiatt Date Cre�ted; Zer�-07-t'1 � F • . � � •
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ACTION TAI�N: � l • , . •
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� Status: In Progress Sabmitter Has Been �... . � '
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� City of Fridley
Water Department ��� ; f�, �-�
6431 University Avenue NE ��
Fridiey,MN 55432 �/���
763-572-3566 ��
��11N"e hereby authorize the C�ty of Fridley and/or its employees ta do wfiat is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise a�d all interiar
piumbing. (Per Crty code 402,06) I a{so hoid the City af Fridiey and/its empfoyees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,waiis,floors or the curb stop box and service tine. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) � � 7� ./V
Name: V�il.�ll Address_ �� ✓ .,S�r1�t5'�ti L I�, ��..
Phone Number��" �8�' V f �' Date �! �� � � /
,,(`Signature Witness Signature ��
OLD MfTER# `,������ ��CJ
OLD READING � ` 7 ��U
NEW METER# ` 1��� � / �
NEW READING �
ERT# �� ` � V� dJ
FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
{Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144,1156,1191j
402.5 PERMl7 FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiidir�g for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shafl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sevarer Departmerrt shall be notified. it shall be ualawful to cover
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the Crty as a
proper and suitabie connection.
402.06 REPAIliS AtYD MAINTEIVANCE Tp COPINECTION
After the initial conaection has been made to the water service curb stvp box or the sewer lead at the property line or a water service dead has
been extended to the property line for connection,the applicarrt,oarner,or occuparrt or user of such premises shali be tiabie for all repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. if the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shail be charged fvr the costs of the maintenance andjor
re�airs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shail be the responsibil'rty of the applicant,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to fihe main incfuding debris clearing or
root cutting and to mairitain the water service curb stop box for operabil'�ty and at such height as will ensure that it remains above the�nished
grade of tf►e land or property. (Ref 638,1]56,1191)