Meter swap ti
Request Number: 16017
Pubhc works Division
Service Request
Problem Address: 280 Longfellow St Requested By: Carol Halwrsen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-784-4952
Scheduled Date• 017-06-23 Scheduled Time: 10:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-15
ACTiON TAI�N:
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Status• In Progress Submitter Has Been r
' Contacted
Date Completed: Completed by:
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• uvater De�artmen� S'�� (��(p�j
� 5431 l�niversity Avenue�1E
Fr6dley,MN 55432
753-572-356fi
�,'iVe hereby authorize the City of Fridley and/or 6ts employees to�[o what is necessary to
replace the water meter. !understand that the property owner is 4iable for the water line from the main to#he premise and all interior
plumbing. (Per�i#y�ode 402.�6� I also hold the City of Fridley and/its employees harmtess for any damages�hat may occur while doing this
operation. 7his to include,but not limited to valves,piping,walls,floors or the surb stop box ared service line. Irt understand t am also require
to obtain a permit prior to any work,if necessary.
FiNAL ME'fER READIfYG{o1d meter) � ` c.J � ��
Name: �'�'� �iW►��/�` ' � Address_ � '�J �YL-����✓ 5�
Phone!Yu r ' �/" , `"t �C�-Date ``L>��� � ��
Signa�ture Witness Signature
OLD MJE�ER# � = � ����
�LD READING _ � ' � ���
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NE�REAf�INC; ��
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FRIDLEY CITY CODE
�6�Ad�TER 402oWA�'E9i,5��3R{1A 9NA7'ER AND SANITARY SEWER
A�MINISTBtA�iON
(�ef Ord N�113,464,565, 566, 629,538,562,922,9�8, 1144, 1156,1193.)
402.5 PERMIT FEE
Prior to constructing or repair�f any water of sewer line connecting the existing municipaf system and any house or building for whith the
application is made,the owner or contractor shall be required#o obtain a peranit 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 Khe City as a
proper and suitable co�nection.
402A6 lt�PA1R5 AIVD MAINTENANCE TO CONNECTION
After the initial connection has been rnade to the water service curb stop box or the sewer(ead at the property line or a water service lead has
been e�ctended to the property line for connection,the app(icant,owner,or occupant or user of such premises shall be liable for al(repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the Qroperty oarner
cequests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenartce and/or
repairs,inciuding necessary street repairs at a rate set annualty by an administrative poliry. 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 o�
roo�zutting and to rnaintain the water service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade af the iand or�property. (Ref 638,1156,1191j