Meter Swap � ` Request Number: 12942
Public works Division
- Service Request
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Problem j k,eaa: �Meadowmoor Dr � Requested By: Angela
Department: WA'IER Address: No address provided
Problem/Iss�: INSTALL AMR METER Phone Number: 763-464-0811
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Sc6eduled Date: 2017-01-19 Schednled'Ilme: 07:00:00
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ACIION NEEDED:
Cre�edby: WendyHiatt DateCrerted: 2U17-01-18
A�C'IION TAI�N:
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Statas: In Progress SnMnitter H�Been r,
Coetncted
Date Completed: � �" �.�1.'1 l� Connpleted by:
Ja��
iAfater�e�aartrrteret
6431 lOniversityl 1�,venue N� / /�
Fridley,MN 55432 ��� ' ���C0�7� ` �"�
753-572-3566 �� ��`� � +
� ,/'"�e her�by authorize the City o#Fritlley and/or its empioyees to do what is necessary to
replace the water meter. !understand that#he property owner as liable for the watee line from the main to the premise and all interior
plumbing. (Per C'rty code�02.06) i also hold the Crty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not lim'rted to valves,piping,wails,floors or the curb stop box and service iine. In understand 1 am also require�
to obtain a perm'rt prior to any wor�c,�f r►ecessary.
FIAIAL METER READING(old meterj W v� V � c'�
Name• ��_ �� Address ������ r"�c.Q.�Y�'�'�t� DY;
Phone Number���� �l�� ""o V� D� �� ` � � � 1
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Signature Witness Signature
OLD METER# t " ��/ 1 6
OLD READtNG �V v�l(� (U
NEW METER# t 6 T� I l.� t ! �-
NEW REQD111PG �
ERT# � ��� � �C�C�
FRIDLEY CITY CODE
CHAPTER 402.WATER,S7'ORM WATER AWD SANITARY SEWER
ADMINISTRATION
(Ref Ord R10 113,464,565,566,529,638,662,9Z2,988,1144,I156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing muniapa(sys#em and arry house or building for which d�e
application is made,the owner or cor�tractor shall be required ta abtain a permit for such connection,and shali pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has i�een made,the Water and Sewer Department shall be notified. ft shail ife uniawful to co�r
ariy connecting line untii an inspection has been made and such connection and the work inaderrt thereto has been approved by the Clty as a
proper and suitabte connection.
402.06 REPAIRS APiD MAINTENARICE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at fihe pr�erty line or a water service lead has
been extended to the property fine for connection,the applicarrt,owner,or accuparrt or user of such premises shatl be liable for ap repairs
required to any water line and sewer tines necessary for connection of the premises from the main to the premises. tf the property owner
requests mairrtenance service or repairs be perFormed by the C'rty,the property owner shait be thar�ed for tfie costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. R shatl be the responsibility of the applicarit,
owner,occupant or user to perform standard maintenance 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 wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,2191)
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