Meter Swap � Request Number: 16010
Public Works Division
Service Request
Problem Address: 595 Janesville St Requested By: Jeremy
Dep�rtment: WA1ER Address: No ac�ress�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 651-342-0418
Scheduled Dat • 2017-06-16 Schednled'Iime: 11:30:00
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ACTTON NEEDED:
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Created�by: WendyHiatt Date Crexted: 201'7-06-15
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Status: In Progress Snbmitter Has Been r,
Contacted
Date Completed: /'_ � `/„ _, 'y Completed by: �\L �p
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• �ity o#Fr�dley
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� 6431 lJniwersity Avenue fUE G
Fr�dley,MN 55432 ��� � / ��
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1/we here6y authorize the Crry of Fridley and/or its employees to do what is necessary to
repiace the water meter. t understand that the�ro�erty awner is liab(e for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/ets employees harmtess for any damages that may pccur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or#he curb stop box and senrice line. In understand t am also requirE
to abtain a permit�rio�to arry work,if necessary.
FINA!METER READ{f1{G{old meter) v v "� -` � "'
Name• � �� Address _ ,� ! J U'�' � �J'i�-
Phone�lumber l -^ � "'��� p� l� � ��Q —' ��
Signature Witness Signature
OLD METER# li�CT� � ��
OLD READING v� �/�� � �
NfW METER# _ 4�� �UZ
IYEW READING L/
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FRIDLEY CITY CODE
CHAP�'ER 402.WATER,STORM WATER AND SQNITARY SEWER
ADMIRIISTttAT10N
(Ref Ord No 113,e�64,565,566,629,638,662,922,988,1144,1156,1191j
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 the
application is made,the owner or contractor shafl be required to obtain a permit for such cannection,and sha(i pay a permit fee as provided in
Chapter 31 of this Code. After such conrtection has been made,the Water artd Sewer Departmerrt shaR be notified. !t shat!be unlawfu!to cover
any connecting li�e until an inspection has been made and wch connection and the work incident thereto has been approved by the C'rty as a
proper and suitable connection.
402A6 REPA(RS AND MAINTENANCE TO COWNECTION
After the initial connectioR has been made to the water service wrb stop box or the sewer lead at the properly line or a water sertrice(ead has
been extended to the prvperty line for connection,the app(icarrt,owner,or occupant or user of wch premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the Qroperty owner
requests maintenance senrice or repairs be performed by the C'rty,the property owner shall be charged for the costs of the maiMenance and/or
repairs,inctuding necessary street repairs at a rate set annually by an administrative policy. It shall be the respo�sibil'rry of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service tine from the premises to the main including debris dearing or
root cutting and to mairitain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191D