Meter Swap �.
' Request Number: 16527
Public works Division
Service Request
ProMem A+ddress: 7350 Memory Ln Requested By:
Dep�rtment: WATER Address: No address provided
Problemllssne: INSTALL AMR METER Phone Number:
Scheduled Date: 2017-0 -01 Schednled 1�me: 12:00:00
rs ISr �
ACTION NEEDED: 5hut off water to repair valve.Install AMR.
Created by: Wendy Hiatt Date Created: 2017-08-01 -
ACIION TAI�N:
......................................�.....__.._..._..�r ......_._._...__................_...._................_............._._._._.....�. _.�_
......___�......_. ..(�1� ._..._�..-.W....:��_ _....t��S___ . .�..._______.�
Status: In Progress Snbmitter Has Been r,
Contacted
Date Completed: Completed by:
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�'�o������ey
3 �z - � �y� �° � � j
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, fs431 l�niversity Arrenue 6VE
Friciley,MN 55432
7b3-572-3566
r�`"�� hereby authorize the Citoty of Fridley and/or its employees to do what is necessary to
repiace the water meter. i understand that the property awner is liable for the water line from the main to the premise and all interior
plumbing. (Per�iy code 4�02A6) 1 also hold the Crty of Fridley and/'�ts employees harmless#or arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,waiis,floors or the curla stop hox and service line. in understand f am also requir�
to obtain a permit�srior to any work,if necessary.
FBNAL METER READtNG(old meter) � �
Name: Address ��� ��.��2 l �
Phone Nu ber • p� �� L'( l
Signature Witness Signature
OLD MfTER#�TaT���_q
OLD READING_ C(� .� � �Q ;:�
;, NEW METER# �4��� ��� �
NE1IV''READING � ,
E�# �1� '�I � `�1 �1 ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
�I�ef Ord No 113,464,565,566,6Z9,638,662,922,988,1144,1156,1191)
402.5 PERMlT FEE
Prior to constructing or repa�r of any water of sewer line connecting the existing municipal system and any house ar twilding fo�which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shatt pay a�rmit fee as pro�ided in
Chapter 11 of this+Code. After such connection has been made,the Water and Sewer Departmerrt shal[be notified. it shall be unlawful to cove�
any connecti�g line unti{an inspection has been made and such connection and the work incident tfiereto has been approved by the Crfy as a
groper and suita6le connection.
402.06 REPAIRS AND MAINTENANCE TO COPlIYECTtOtY
After the initiai connection has been made to the water service curt�stop iwx or the sewer tead at the properly fine or a water service lead has
been extended to the property line for connection,the applicarrt,awner,or occupasrt ar user af such premises shaii be liabte for ail repairs
required to any water line and sewer lines necessary#or connection of the premises from the ma+n to the premises. ff the property owner
requests mairrtenance service or repairs be performed by the�ty,the property oarner shall be charged foc the c.�ts af the mairrtenance and/or
repairs,induding necessary street repairs at a rate set annualty by a�admirtistrative palicy. It shall be tF�e respaasiBitity of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to tbe main including debris clearing os
root cutting and to mairnain the water senrice curb stop box for operability and at such height as wiil ensure that it remains above the�nished
grade of Che land or property. (Ref 638,1156,1191j