Meter Swap � Request Number: 15970
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Service Request
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Problem Address: 180 Liberty St Requested By: John Wozniak
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-5148
Scheduled Date: 2017-06-20 Scheduled Time: 02:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-13
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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y
�Ci#y of�radley �1� �. �� j�� ��/
� Water Departe�ent �
� �431 l�niversity Avenue 1VE �� � �i7��
Fratlley, MN 55432 �
763-572-3566
+�'"�e hereby�uthorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. !understand tfiat the property nwner is liable for the water line from#he anairt to Lhe gremise and ali interior
plurnbing. �Per�i#y�ode 402.U6j i�Iso hold the Cifiy of Fr6diey and/its employees harmless for any damages that may ocwr while doing this
operation. This to inctude,but not limited to valves,,piping,wal(s,floors or the curb stop box and service line. In understand 1 am also require
to obtain a permit�rior to any�rortc,if necessary.
FBNAL MEfER SEADING(o�d sneter) � ���� ��
Name: �--�l.i�`L�/�, ����t(A-�.-, Address ' �� ���'� � `,�
Pho�e Number ���y����b�"� pate `�—�^� —y�
� Signa /�-E- ' �` �lf� .P��-�+L, Wetness Sigrtature
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o�� �,E�ER�_"Z�i 1G C� � l
OLD READINC; � L-��,)�j ��
fVE4t1/ 41/EETER# ��V � �� ��
lVEL!/ i�EAD1NC; �
E�-r# rl 1 � 2�0�--�
FRIDL�Y CITY�ODE
C�iA�TER 402.WA�ER,Sl'OftMl WATER AND SANtTARY SEWER
�4DMBN15�'6iA�90N
(�ief Ord 6Yo 113,464,565,566,529,538,562,922,985,1144, 1156,1191)
402.5 PERMIT FEE
Prior ta constructing or repair of any water of sewer line conneding the existing municipai system and any house or buiiding for which the
applicaCion is made,the owner or contractor sha(I be required to ob#ain a permit for such tonnection,and shafl pay a permit fee as provided in
�hapter 31 of�this�ade. After such connection has been made,the FNater and Sewer Department shall be notified. It shall be unlawful to cover
any connecting tine unti!an inspection fias been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.�6 l2EPAIRS AiVD IUTAINTENANCE TO CONNEC1f10N
After the initial connectiort has been made to the water service curts stop box or the sewer(ead at the property line or a water service lead has
been extended to the property line for connection,the app(icant,owner,or occupant or user of such premises shall be liable for all repairs
required to any+nrater line and sewer lines necessary for connection of the premises f�om the main to the premises. If the property owner
requests maintenance service or repairs be performed by tfie City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the respo�sibility of the applicant,
owner,occupant or user to perform standard mair►tenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the uvater service curb stop box for operability and at such height as will ensure that it remains above the#inished
grade af Yhe land or property. {Ref 638,1155,1191j