Meter Swap . ,t
4
Request Number: 16004
Public works Division
Service Request
Problem Address: 555 Kimball St Requested By: Douglas
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 763-784-4605
4 Scheduled xte• 2017-06-16 Schednled TSme: 07:30:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-15
AC'�ON TAKEN:
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Status: In Progress Submitter Has Been r
Contacted
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Date Completed: �`� � v�� � Completed by: �4`�
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. • �i#y o�Frddley ��� '� �j 1� 0 �v ��I
Water Departnaent �
t431 l�niversi#y Avenue NE � ��J�
FrAdley,N6N 55432 �
763-572-3565
��"°e hereby authorize the City of Fridtey and/or its empioyees to do what is necessary to
rep�ace the water meter. 1 understand that the�roperty owner is liable for the water line from the main to the gremise and a(i i�rterior
plumbing. (Per�ity code 402.06) I also hold the Gty of Fridiey and/'rts empioyees harmtess for any damages that may occur wh�e doing this
operation. This to indude,6ut not limited to valves,piping,walis,flooirs or the curb stop box and senrice line. In understand 1 am also require
to obtain a permit prior to arry warlc,if necessary.
FBNAL METER READING(old meterj �� �� ��'Cl`�'t�
Plame: _���! ��•l.� Address_ `7�'7 ���.�✓Cl.�I �T-
Phone 9Yumber ���� �S� ` t�o Date l;(c '— 'l(G�– ��
�Signature G - Witness Si�nature �.
OLD METfR#_ �Q � �� ��3
OLD READING �������
NEW METER#_ I I O'�p� V� � U S
NEIIV READIMG d
E�RT#_ ! ��� L O� ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMINISTRATlON
(Re#Ord No 113,464,565,566,629,638,662,922,988,1144,1156,I191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such cannection,and shaii pay a permit fee as prvvided in
Chapter 11 of this Code. After such connection has been made,the water and Sewer�epartment shali be notfied. It shall be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the Ctiy as a
groper and suitable co�nection.
402A6 REPAIRS AND MAINTEPIANCE TO CONIYECTIOM
After the initial connectiort has been made to the water service curb stop box or the sewer lead at the property line or a water service tead has
been 2xtended to the property line for connection,the appiicarrt,owner,or occupa�a�user of such premises shati be tiable for all repairs
required to any wrater line and sewer lines necessary for conneetion of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibii'ity of the appl�cant,
owner,occupant or user to perForm standard mairitenance 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 operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1155,1191)