Meter Swap . � Request Number: 15650
Public works Division
Service Request
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Problem Address: 468 Longfellow St Requested By: Debra Frost(new owner)
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER P6one Number: 763-268-9461
Scheduled Date: 17-06-02 Scheduled'ISme: 0830:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-31
ACTION TAI�N: �
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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�ity of Fr6dley
Wa�er Departrraent �"O � `'[ ��
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i 6431 l�niversity A�enue NE J
Fridiey, MN 55432
763-572-355b
i/we hereby authorize the�fij ofi�ridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the anrater line from the main to the gremise and alt irstereor
p{urnbing. (Per�ity�ode 402.06) I also hold the City of Fridiey and/its employees harmless for any damages that may occur whiie doing this
operatiom. This to include,but not lim'rted to vaives,piping,walls,floors or ihe curb stop boK and service line. in understand!am also requirc
to abtain a permit�rior to any worh,if necessary,
FiNA!METER ltEADING{oid meter) v� " � ��v
Name• ��i'� w �� Address __`1,�� `����� (�
Phone�lumber �`�-1 il"; �(J��'�l�l Date �� � ��
'�Sig�n=re ����� �U �� Witness Signature
OLD IV1E7'ER# � Z � � �% �J�t-'�
OLD RfADtNCa v �� / � �O
14EW iV1El'ER# �"l��� � (i ��
NEL1/�EADING �
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FRIDLEY�ITI(CODE
CFIA�7'Eit 402.WA3El�,STORMI WATER AND SANITARY SEWER
ADMINlS�RAT90N
(�Zef Ocd No 113,464,565➢566,ti29,538,662,922,958, I144, 1156, 1191)
402.5 PERMIT FEE
Prior to constructing�r repair of any water of sewer line connecting the existing municipal system and any house ar building for which the
application is made,the owner or contractor shall be required to obtain a permit for such cannection,and shafl pay a permit fee as provided in
Chapter 11 of this�ode. After such connection fias been made,the Water and Sewer Department shall be rtoti�ed. It shall be unlawful to cover
any connecting line until an inspection has been made and such connectian and the work 9ncident thereto has been approved by the City as a
groper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOfV
After the initiat connection has been made to the water service curb stop box ar the sewer iead at the property line or a water service lead has
been extended to the property line for sonnection,the applicant,owner,�r occupant or user of such premises shall be liable for all repairs
required to any s�vater line and sewer lines necessary#or connection of the premises from the main to the premises. If the property owner
requests maintenance service or repa+rs be perfvrmed by the City,the property owner shal!be charged for the costs af the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an admirtistrative policy. !t 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 inciuding�lebris clearing or
root�utting and to maintain the r,vater service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the iand or property. (Ref 638,1155,1191)