Meter Swap Request Number: 16026
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Service Request
Problem Address: 386 Longfellow St Requested By: Ryan Ratliff
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-442-0159
Scheduled Date: 2 17-06-23 �Scheduled Time: 08:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-16
ACT[ON TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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�ity of Fridley 1� !( �G I � /��
Water Department � �I "J
" 6431 University Avenue NE �O � l,,t���
. Fridley, MN 55432
763-572-3566
��`^« 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 rnain to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to va(ves,piping,watts,ftoors or the curb stop box and seroice line. In urtderstartd 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) � �����
Name• _ ��a'1�. I�G�,�I1 Address � �'^C ..�`�C?I.a.�' s—�'"
Phone Number •� ��� 1� � � `�' ��pate �,/�� aJ + 1�
XSignature Witness Signature —
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OLD METER#_,��`�--'����
OLD READING � �����(.J
NEW METER#_����90�-��
NEW READING �
ERl'#����,,- !�"( ��
FRlDLEY CITY CODE
CFiAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
((tef Orsl No 113,464,565,566,629,638,662,922,988, 1144, 1156,I191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 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 connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connection has been made to the water service cur6 stop box or the sewer lead at the property line ar a water service lead has
been axtended to the property line 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#or 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 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 responsibility of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)