Meter Swap � Request Number: 15940
Public works Division
Service Request
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Problem Address: 450 Liberty St Requested By: Karen Lindquist
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-7699
Schedul ed Date: 0 I 7-06-14 ..�,1 SchedW ed Ti me: 11:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-il 2
ACTION T.AE�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: � ._ � ��.._ �'�� Completed by: t � .�
�.1 G1 �-
' �ity of��odley '�J' �V ' �� 3 !� '� �
• Wa#er Departe�e�ent �� ���
�431 University Avenue�IE
Fr�dley, MN 55432
7�3-572-3566
��°j'�e hereby authorize the City of Fridley and/or its emptoyees to�lo what is necessary to
replace the water meter. t understand that the�roperty owner is liable for the water line from the anain to Lhe premise and all irrterior
�Bumbing. �Per�Lity�code 402.a6) a also t►old the City of Fridley and/its employees haemless for any damages that may occur while doing this
operatiom. This to include,but not limited to vafves,piping,walts,floars or ihe curb stop box and s�rvice line. In understand 1 am also requirE
to obtain a permit prior to any wortc,if necessary.
FINAL NIE'9'ER READING(oid rneterj � � �
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Name: �,1'.`�Gl � l.t,-�� � Address_ ��� ��.�J`�}�'�' �� ,
PhonelYamber. #�(,�'��J" ��(�p " �l!!�� 1 Date l.l� � �� —�`�
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Signa�ure � v l.�: -'��C��''� , Witness Signature
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OLD MET'ER# � � �� � � �
OLD READING �"` ��C�� �
NE1i1/ fVfETEit# � l �� � � J �
l�iEil1! i�EADtNG �
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FR(DLEY CITY CODE
CF�A�TER 402oWATE6t,STORMI WATER AND SANITARY SEWER
ADMINBSTItA�'90N
(�ief Ord 6Vo 1130 464,565,566,�529,538,662,�22,988, 1144,1156,1193.j
402.5 PERfll11T FEE
Prior to�onstructing�r repair of any+,vater of sewer iine conneding the existing municipat system an��any house ar building for�vhich the
application is made,the owner or contractor shall be required to obtain a permit For such connection,and shafl pay a permitfee as provided in
�hapter 11 of-this�ode. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any conneding line until an inspection fias beert made and such connection and the work incident thereto has been approved by Khe City as a
proper and suitable co�nection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOIY
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service fead has
been extended to the prvperty 9ine for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If Yhe property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charger�for the costs of the maintenartce and/or
repairs,including necessary street repairs at a rate set annually ay an administrative policy. !t shalt be the responsibility of khe applicant,
owner,occupant or user to perform standard maintenance of the sewer service 9ine from the premises to the main including debris clearing or
root cutting and to rnaintain the water service curb stop box for operability and at�uch height as will e�nsure that it remains above the finished
grade af the land or property. {Ref 638,1155,1191)