Meter Swap .
* Request Number: 12979
Public works Division
Service Request
Problem Address: 7519 McKinley St Requested By: Donna Ossman
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-780-5772
Scheduled Date: 2 17-01-24 � Scheduled Time: 07:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-20
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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� -' Z� � l—] �cr�, -�,
Water�epartrnent ,,� � � � 4 '�, /'
5439.�n6versity�Aversue NE Q
' Fridtey,MN 55432 � � �—� ����� �
� 753-572-3566
r �11Ne hereby authorize the Ciiy af Fridley and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that�he propea�ty owner is liable for the avater lirte from the main to the premise and a!!enterior
plumbing. (P,er City code 402.06j i also hold the C'rty of Fridley and/ifis employees harmless for any damages that may occur while doing this
operation. This#o�nclude,but not Bimited�o valves,piping,wails,floors or the curb stop box and service line. In understand 1 am also require�
to obtain a perm'rt prio�r to any+norfc,if necessary.
FBtVAL METER READING(old meterj � � � �"" � �� �
Name:, l;'�11'1.�,`. �� �� � Address '� <�� \ 1`"`���1,�`��t",� ��
Phone Number���� ��--����Dafie ` ��� ��
Signature Witness Signature
OLD METER# ` � �C� �'� ��
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OLD t�EADtlVG� � � � �Z��
IVEW METER#
'��� l i �`��� �i��-�- �- �-� �'�� ���J"`'
AIEW READIl�1G �J
ERT# �, � . L.J �, I �"
FRIDIEY CIlY Ct�DE
CFIAPTER 402.WATER,STQ�RM WATER AND SANITARY SE4VER
ADMINISTRATION
(Ref Ord !Vo 113,464,565,566,629,638,662,922,988,1144,II56,1191)
402.5 PERMlT FEE
Prior to constructing ar repair of any water of sewer iine connecting the existing municipal system and any house or buiiding far which the
application is made,the owner or contractor shatl 6e required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. 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 suitabte connection.
402.06 REPAIRS t#ND�VIAINTENANCE TO COfVAiECT10Pl
After the initial connection has been made to the water service curb stop box or the sewer lead at the property iine or a water service lead has
been extended#o the property line for connection,the appticarrt,owner,or occupant or user of such premises shaft be►iab(e for a(I repairs
required to any water line and sewer lines necessary for connectian of the premises from the main to the premises. if the property owner
requests maintenanee service or repairs be perFormed by the City,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. it shatl be the responsibility of the applicarrt,
owner,flccupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root sutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains ahove the finished
grade af the land or property. (Ref 638,1156,1191)