Meter Swap � Request Number: 16551
Public works Division
Service Request
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Problem Address: 551 Lafayette St Requested By: John Coulter
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-432-3412
Scheduled Date: 2017-08-10 Scheduled'lime: 10:00:00
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ACTION NEEDED:Turn off water for valve repair.Install AMR.
Created by: Wendy Hiatt Date Created: 2017-08-0 I
ACTION TAI�N:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
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. i�7ater�epaa�evaent s�� ��I?-�
fi43].l�aaovers6ty d�venase NE �
FrB�4Qey,�ri1V 55432
7(i3-5�2-3566
���1j'�� hereb�authorize ihe C6fij of Frid(ey and/or its�m�o(oyees to da+ahat is necessary to
re}�lace the water meter. I Uraderstand#hat the oroperty awner is 6iable for+the urater line#rom Lhe s�nain to the premise and all inter6or
olurnbing. {P�r�Li#y sode�Z.06j I also hold the�ity of Fridley and/its employees har�nless#or any daeaiages that may occur while doing this
operation, 7his to'snclude,but not limited to va(ves,giping,+,valls,f600rs or the curb stap box and service line. !n undersfiand 1 am aiso requirE
to olstain a perrnit pr6or to arsy wortc,if necessary.
FINAL ME�'ER READING{oid rr�eter} � � � ����
lVame• Address ,C)��� ��'�' ��{�'t C��„
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Phone 3Vumber Date ^ � � �
Signature L� � Witness Signature
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fiVE� READl1VG �
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FRIDLEY�6T'f CODE ��
��BA��'ER GOZ.INA�'��,ST�RM�IVATEit Ai�iD SAN9T60.l2�1 SEiNER
A;DIVI6NIS�'RAl'60N
���f Ors�No 19.3,464,565,566, 629,638,662,922,988, 1144, 1156, 1191)
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402.5 d�ERMIT PEE
� Pr9or to�onstructing or repair�f any water of sewer line connecting the existing rnunicipal system and any house ar buiiding for which the
applicafiion is made,the owner or contractor shail be required to obtain a perrnit for such connection,and shali pay a permit fee as provided ira
�hapter 11 of this Code. Afiter such connection has been made,the Water and Sewer Depar+tment shall6e notified. It shail be unlawfui to cover
an�connecting line untif an inspection has been made and such cannection and the work incident thereto has t�eert approved by the City as a
�vroper and suitable connectio�.
402.06 32EPAiRS AiVD MAiNTENANCE TO�ONNECTION
After the initiai connection has been made to the water service curb stop hox or the sewer tead st the property line ar a water seroice lead has
been extended to the property 9ine For�onnection,the applicant,owner,qr accupant or user of such premises shall be liable for all repairs
required to any water line and sewer{ines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall he charged for fihe costs af the maintenance andJar
repairs,including necessary street repairs at a rate set annually by an adminisfirative policy. 9t shal)be the responsibility of the applicant,
owner,occupant or user to perForm standar�i maintenance af tfie sewer service line from the premises to#he main including debris ctearing flr
roo#cutting and to maintain the vvater service curb stop box for ooerability and at such height as will 2nsure that it remains above the#inished
grade of the land or property. (Ref 538,1156,3191j
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