Meter Swap Request Number: 15615
PuMic works Division
Service Request
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Problem Acldress: 279 Liberty St Requested By: Jessica Sla�ypez
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-923-1420
Scheduled Date• 2017-05-31 5cheduled'ISme: 01:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-30
ACTION TAKEN:
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5tatus: In Progress Subcnitter Has Been r
Contacted
Date Completed: Completed by:
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Y
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wa��r�epa��,e�,�
' 6431 l�niversity Averoue NE
' Frodteyo MPl 55432 S� � �2��
753-572-3565
d�we hereby authorize the City af Fridley and/or ets employees to�Io what is necessary to
replace the water meter, t understand that the q�ro�oerty owner is tiable for the water iine frorn#he anain to the premise and all inte�ior
piumbing. (Per�ity�ode 402.U6) t elso hold the City of Fridiey andJits employees harmless for any damages that snay uccur wfiile doing this
operation. 7his+to inc{ude,but not limited to vatves,piping,walls,floors or the curb stop box arod service 6ne. In understand 1 am also requirE
to oi�tain a permit prior to any work,if necessary.
FfNA!METER READINIG(oid rrReteri ���� �
Name• �"��JJ�C°� Address � 6 \ �i J
PhaneNumber ( 'C������'�"f t.�lDate �^ �� � � �
�Signature �'7 ..^�, ��� W�tness Signature
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OLD READING ����yv
61[E9N 41lfETER# �7���� � ��
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FRIDLEY CITY CODE
CHAd�TElt 402oWA�ER,51"�RMI WATER ANL9 SANt�'A(tY SEWER
ADMINISTltAT90i1t
{�ef Orc[9V�113,454,565,56b,529,538,662,922,988, 1144,11�6,1191)
402.5 PERfY1fT FEE
Prior to sonstructing or repair�f any water of sewer line connecting the existing municipal system and arty house or buifding for whith the
application is made,the owner or contractor shal!be required to obtain a permit for such connection,and shal(pay a permit fee as provided in
�hapter 11 of this�ode. Afiter such connection has been made,the Water and Se+uer Department shall be not�ed. ft shafl be unlawful to cover
any connecting line urttil an inspettion has been made and such connection and tfie work incident thereto has been approved by the City as a
proper and suitable connection.
402.a6 REPAIRS AIYD MAfNTENAiYCE TO COIUNECT{01V
After the initiai connection has been rnade to the water service curb stop 6oK ar the sewer lead 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 alt repairs
required to any water li�e and sewer lines necessary for connectiort of the premises f�om the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,khe property flwner sha{I be charged for the costs of the maintenartce and/ar
repairs,including necessary street repairs at a rate set annualiy f�y an administrative policy. It shall be the responsi6ility of the applicant,
owner,nccupant or user to perform standard maintenance of the sewer sewice line fram the premises to the main inciuding debris clearing o�
root cutting and to maintain the water service curb stop hvx for operability and at such height as will ensurs that it remains above the finished
grade ofi the(and or property. (Ref 638,1155,1191)