Meter Swap � . Request Number: 12868
� Public works Division
Service Request
,�; _
Problem Address: 1425 Meadowinoor Dr Requested By: Scott w/RP M�ageme�
� �'� 'aA` Departroent: WATER Addreas: No address provided
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Problem/Is:ue: INSTALL AMR METER Phone Number: 612-465-0425
Sched� e: 20 7-01-19 � Seheduied 1I�e: OS:00:00
�
� A�C.'TION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-Oi-13
��$'lION TAI�N:
a--�, 5� I1�� �
Stma: In Progress ���cr Has Beea r,
Co�aete�
Drte Completed: �'"' �� " �� Completed by:
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�o�or rr�aoey
Water Departrnent
6431 University Avenue PIE � �o� � ��5 �t�(7 " ��
Fridley,MN 55432
� . 753-572-3566 5� ;�p� �
��W� hereby authorize the Ciiy of Pridley 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 main to the premise and all interior
plarrabi»g. (Per Crty cocle 402.06) i also hold the City of Fridtey and/its employees harmless#or eny damages that may occur while doing thts
operation. This to include,bufi not limited to valves,piping,walis,floors or xhe curb stop box and service line. In understand I am also required
to obtain a permit prior to arry wor{c,if necessary.
FINAL METER READING(oM meter) � �� � � l-�
Name: J�•C1`�T Address ��_� � '��G��()l,� V'���/` �,�/^.
Phone Numbe��L(�—."' I`t'J�0 ( �� Date �— � I ���
SIgtlBttit'2 YY�b12SS SiglldtUr2 �^
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OLD METER# ��� ��� 3� i
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OLD READtNG lt� L-J �� �
NEW METER# "1� �I t� l I �,
NEW READING �
ERT# � vV� �� 1� .
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4025 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and arry house or buildir�g for which the
application is made,the owner or cor�tractor shall be required to obtain a permit for such connection,and shall pay a permitfee as pr�ovvided in�
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Departmer�t shall be notified. it shall be untawful to cover
any connecting line urrtii an inspection has been anade and such wnnection and the worlc inaderK thereto has b�n approved by the CRy as a
proper and suitable connection.
402.06 REPAIRS AND MAIfYTENANCE TO CONNECTION
After the initial connection has been made to the water service arb stop box or the sewer lead at the propert�/li�e or a water service lead has
been extended to the property line for connection,the applicant,owner,or accupaM or user of wch premises shatl be liable for ail repairs
required to any water line and sewer lines necessary fvr connection of the premises from the main to the prem'�ses. If the propertr owner
requests maintenance senrice or repairs be performed by the C'rty,the property owner shaii be charged for the cosks of the mai�rtenar�ce and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. R shail be the responsibil'�ty of the applicarrt,
owner,occuparrt or user to perform standard mairitenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or p�operty. (Ref 638,1156,1191)