Meter Swap �
' Request Number: 16063
r�i�wo�n��on
Service Request
Problem Address: 548 Lafayette St Requested By: Jared
Department: WA'IER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 612-490-3955
Scheduled Date: 201'7-06-21 Schednled 13me: 02:00:00
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ACiZON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-20
ACTION TAI�N:
vV�C't�C — .�dlc�wL
Status: In Progress Submitter Hna Been r,
Contacted
Date Completed: r„_ Zl_l�'�( Completed by: �qu,�,,` �y J;,��
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City of Frid9ey �f �� ' " �3 O�D ^ O 2'
x Water Department �O J' t L��O
6431 University Avenue NE =F �
, Fridley,MN 55432
763-572-3566
t/we �-'``� ��r'+r��G�'°'su"` hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all iriterior
plumbing. (Per City code 402.06) I also hold#he City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to indude,but not limited to valves,pipin�walis,floors or the curb stop box and senrice line. In understand i am also required
to abtain a permit prior to any work,if necessary.
FIPIAL METER READIAlG(oid meter) � � J� � 3�
Plam�: Address ��O L���/1!%l,/l=� O � �
Phone Number pa�
Sig�ature Witness Signature
OLD METER# ��n I �(� Z..��
�
OLD READING I1-i ����O ---t�, _ :_ ----
N�,ME,-ER# �IIIII III�III ' .
IIIIIII
� .4922so9z !
NEW READING � �-' _ _ _- -
ERT#_ IIIIIIIIIIIIIIIIIIIIII E '
'I 'I 72227340
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SQNITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144,1156,1191)
402.5 PERNIIT FEE
Prior to constructing or repair af ar�y water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contrackor 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 Department shalf be notified. It shatl be unlaarful to cover
any connecting line uMil an inspection has been made and such connection and the work incident thereto has been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC170N
After the initiai connection has been made to the water service curb stop box or the sewer lead at the properLy line or a water servke fead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shail 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. tf the property otvner
requests mairrtenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
roo#cutting a�d to maintain the water service curb stop box for operability and at such height as will enwre that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)