Meter Swap ,
Request Number: 13219
Public Works Division
Service Request
Problem Address: 1 S29 N Timber Ridge Requested By: Jordan
Departmeut: WATER ��.�a: 1529 N Timber Ridge
Fridley,MN 55432
ProMem/Issne: INSTALL AMR METER Phoae Namber: 651-'734-8990
Sc6eduled Date: 2017-02-06 Sc6eduled 11me: 1030:00
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ACTION NEEDED:
Crexted by: Beth Kondrick Date Crested: 2017-02-02
ACTION TAI�N:
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Statua: 1n Progress Seb�tter Haa Been �,
Cout�cted
Date Completed: Completed by:
2-�- � - 11 1 ��
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Fridley,MN 55432 �
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� 9/we hereby authorize#he Ciiy of Fridley andJor its employees to sio what is necessary ta
replace the water rneter. 1�nderstand that the propea�ty owner�s liabie for the water line from#he main to the premise and all irrterior
plumbing. (Pe�City sode 402.06) i also keold t6e C'rty of Fcidley andJ'rts empioyees harmiess for any�Jamages that may occur while doing this
operation. This go include,but no#lim�#ed to valves,piping,wails,floors or the curb stop boz and service line. In understand 1 am also requi�
to obtain a permifi prior to any worh,if nece$sary.
FtWAL METER REAt?MiG{aM meterj � <:XJ�
Name:��_� Address ��t..-� � ���
PhoneWumber������'�� p� � � �
Signature W�tness Signature
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OLD READIl11G �—L� ���C�.J
NEW METER# � W ��z��
NEW READItYG�
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FRIDLEY CITY CODE
CN�►PTER 402.WA,TER,SCORM WATER ANO S�NITARY SEWER
ADMINlSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1155,1191j
402.5 PER1dtIT FEE
Prior ta constructing or repair of any water of sewer line�nnecting the existing muniapal system and arry house or buiidir�for which the
eppiication is made,the owner or corttractor shall be required to obtain a permet for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departme�shall be notified. It shail be untaiafui to cov�
arry connecting line uirtii an inspection has been made and such connection and the work inaderrt thereto has t�en apprwed by the C'ity as a
proper and suitable connection.
402.06 REPAiliS AND MAINTENANCE TO CONNECTION
After the initia(co�nection has been made to the water senrice curb stop box or the searer lead at the property Ilne or a water seroice Iead has
been extended to the property line for conneckion,the applicarrt,owner,or accupant or user af such premises sF�aii be liabie for ail repairs
required to arry water line and sewer lines necessary far connettion of the premises from the main to the prem�e.s. ff the property owner
requests mairrkenance service or repairs be performed by the City,the property►owner shall be charged for�e costs of the mairrtenance and/a
repairs,including necessary street repairs at a rate set annually!�an administrative policy. It shall be the responstbility of the appGcarrt,
ouvner,ocsuparrt or user to perform standard mairrtenance of the sewer service tine from the premises to the main�nduding debris dearing ar
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiii ensure that it remairts above the fnished
grade of the land or property. (Ref 638,1156,1191)