Meter Swap _ Request Number: 13102
Public Works Division
Service Request
ProMem Address: 7550 Lakeside Rd Requested By: Jill Dutcher
Deps�rtmeut: WATER Address: No address provicied
Problem/7ssue: INSTALL AMR METER Phone Number: 763-234-0133
Schednle e: 2017-01-3� Schedaled'Rme: 10:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-01-26
ACTION TAI�N:
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St�: In Progess Submf tter HAa Been r.
Contncted
Date Com�eted: �—�j� " `� Completed by:
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1N�SG'6'!�l��t'$B'93�d9t C., �
5431 t9niv�a-sity Ave�,ue B�E 7L � I��
Fridley, M61t 55432 '��LJ -���'l� 'C��--
753-572-3566 /
,,11°e, hereby authorize#he�iiy of Fridley andJor its empioyees to sto what ds necessary to
� repiace#he water�eter. f understand that the property owner u liabie for the water line from the main to the premise and a!1 interior
ptumbing. (Per City code 402.06j i a#so hold the�ty of Fridley and/'rts employees harmless for any damages tfiat may occur while doing this
oper,aYion. This to 9nclude,but not limrted io aalves,piping,wails,#loors or the svrh skoP boz anci service line. In understand i am also requir
to obtain a permit prio�r to any�ror�c,if necessary.
F111tAL METER RFADfNG(old mefier) " O�� `� v
Name:__�� �� �1A,'�'�j�l� Address _ f�S� ��( �'
Phone Number 7�3 �"��� -d f 33 Date ��cJ Q ' ��
Signature ���Signature ��
o�o,��-�R� �3� �� 3`�
OLD READtNG CJ C�Cd�J ��
NEW METER# � � �� �3 ��
NEW READIiNG � �
�RT# � � 8a � 3 � � ,� �
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN ISTRATION
(Ref Ord Rlo 113,464,565,566,629,638,562,922,988,1144,1156,i191j
402.5 PERMiT FEE
Prior to cortstructing or s�epair of any water of sewer line connecting the existing muniapai system and any house or building for which the
application is made,the owner or corrtracto�sha(I be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departrnerrt shall be notfied. �t shall be unlawfiai to cove
any connecting line uMal an inspection has been made and such connection and the work inciderrt thet�eto has been approved by the City as a
proper and suitabte connection.
402.06 REPAiRS AND MAHYTENANCE TO COMNECTION
After Che initiai co�nectiort has been made to the water service a�rb stop box or the sewer lead at fihe property 1�ne or a water service lead fws
been extended to the property line for connection,the applicarrt,owner,or accupant or user of wch premises shaq be liable for all repa(rs
required to any water line and sewer lirtes necessary for connection of the premises from the main to the premises. If tl�e properly c,�wner
requests main#enance service or repairs be perFormed hy the City,the property owner shail be charged for the�of the maim�ener�ce and/or
repairs,inciuding necessary street repairs at a rate set annually by art administrative policy. R sball be the responsbility of the applicarit,
owner,occupant or user to perform sCandard mairitenance of the sewer service tine from the premises to the main iocludirig debris clearing or
root sutting and to mairrtain the water service r�.+r6 sfiop box for operability and at sucfi height as wilt ensure that it remains above the flnished
grade of the land or properly. (Ref 638,1156,1191j