Meter Swap � '
r Request Number: 13063
Public Works Division
Service Request
Problem Address: 1526 N Timber Ridge Requested By: Cl�risty
Departmeat: WATER Address: No address provided
ProWem/7ssue: INSTALL AMR METER Phone Number: 651-497-1387
SchedaiedDate• 2017-01-27 SchednledlIme: 07:00:00
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ACTiON NEEDED:
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Created by: Wendy Hiatt Dxte CreAted: 2017-01-25
ACIION TAI�N:
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Statns: In Progress Submitter Has Been r
Co��ted
Date Completed: Completcd by:
I -� 2 � - 1 � T� ���-
Wa�e��epartrnent )
5431 lDniversit,r Avenue Ai� s L � , � i /
• FridLey,MN 55432 �
.• 763-572-3566 � l �-'-S/�G'S'`�-��
�j'''�e hereby authorize the City vf Fridley andJor its empioyees to do what is necessary to
replace the water meter. 1 understand that#he g�roperry awner�s liable for the yvater line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) i a(so hold the City af fridley and/'rts employees harmiess#or any sJamages that may occur while doing this
operation. This to incfude,but not Bim'rted to valves,piping,waps,filoors or the curb stop box and service line. in understand I am also require�
to obtain a permit prior to arry avo�lc,if necessary.
FINAL METER READING(old meterj `�' � O� `� v �
lvame: �' "k^i� Address t J � ," y �1M-r7�G� �.�a�
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Phone Numi�er ���—����i 3 Y� p� ��'2�^ `�
Si�nature � Witrtess Sigrtature �
OLD METER#__ l "i � � 2(��
OLD READlNG �J bO ��_O
NEW METER# �11���_` �''�
NEW READING V
ERT#_�� �
FRtDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SANITARY SEWER
ADMINISTRAI'ION
(Ref Ord Plo 113,464,565,566,624,638,662,922,988,1144,i156,T1911
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapai system and arry house or building fvr which the
applicafiion is made,the owner or cor�tracto�shall be cequired to obtais►a permit for such wnnection,and shait pay a permit fee as pruvided in�
Chapter 11 of this Cade. After wcb connection has been made,the Water and Sewer Departmsnt shall be notified. it shail be unfawfui to cover
any connecting line until an inspection has been made and such connection and the worlc inaderrt theceto has beea approved by the C'�ty as a
proper and w'rtable connection.
402.06 REPAlRS AND lIAAtNTENANCE TO CONiNECTiON
After the initial connection has been made to ihe water service curb stop box or the sevrer 4ead at tfie property fine or a water service Iead ttas
been extended to the property line for connection,the appiicarrt,owner,or occupant or user af wch premises shatt be tiabie for ai{repairs
required fio any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the proper�y owne�
reqaests maintenance service or repairs be perFormed by the City,the property owner shall be charged for#he costs of the mairrter►ance and/or
repairs,including�ecessary street repairs at a rate set annually by an administrative policy. It shati be ifie responsibility o#'the app�icarrt,
owne�,occupant or user to perform standard maintenance aE the sewer service line from the premises to the main inciuding deb�ts dearing or
root cutting and to maintain the water service curb stop box for operabi(ity and at such fieight as wifl ensure tfiat it remains above the finished
grade of the land or property. (Ref 638,1156,1191j