Meter Swap • Request Number: 12960
Public works Division
Service Request
Problem Address: 1214 Norton A� Requeated By: Cynthia Mabel
Departmcnt: WATER Addresa: No add�re�s provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-949�
Scbednled Dite: 2017-01-23 Scheduled'Rme: I 1:30:00
,�
ACIION NEEDED:
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Created by: Wendy Hiatt Date Created: 2017-0i-19
AiC'IION TA�N:
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Statms: In Pro ss 5abmitter Haa Besa r
� Co��cted
Date Completed: ����� ,� Completcd by:
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Water�e�arte�nent
6431 ilnivea^si�tg�Averau�WE f �� '��j ( �j r�
Fridley, MN 554�2 � l.�'
763-572-3566 �I��y�.���
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' �/�e hereby authorite#he City df Fridley an�!rts empioyees to do what Bs aecessary to
replace the wafier meter. I understand that the proper#y owner is liabte for the water line from the main to the premise and ait interior
pturrsbing. (Per City code 402.06) i also hoJd the City crF Pridley and/its employees harmtess#or eny stamages that may occur while doing this
oper,ation. This#o include,bufi not limited io valves,piping,wa11s,floars or the curb stoA box and service line. In understand 1 am also require�
to obtain a permifi prior to arry iero�c,if necessary.
FINAL ME'fER READING(oid meter)_ � � �'` �I /�� C�
lYame: C�'� �,��- �Cv ID� l Address �L� [ �W� "�1 w .
Phone li[umber d��"a��"�" ! C�7 Date__�r �r7"' �� t ,�
Signature Witness Signature '"�'
oLOM��R# c �� �a.� ��
OLD READiMG � �'� `��- 7a
NE1N METER#_ 6 1 � � �-1 l�
NEW READING Q
ERT# C�A��� � tJ�� �
FRlOtEY CITY CODE
CHAPTER 402.WATER,STORM WATER AWD SANITARY SEWER
ADMtrttSTltATtON
(Ref Ord llio 113,464,565,566,629,638,662,92Z,988.1144,ii56,1191)
402.5 PERMdT FEE
Prior to constructing or repair of arty�rater of sewer line connecting the existing municipat system and am�hcx+se o�r buiiding for which the
application is made,the owner or cor�firactor shaii be required to obtain a perrnit for such connection,and shalt pay a permitfiee as prov�ed iR
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shaN be notFHed. It shall be unlawfu!to cover
ariy connecting fine uMal an inspection has been made and such wnnection and the worlc inaderrt thereto has been approveci by the C'rty as a
proper and witable conaectiora.
402.Ob REPAIRS AND MAINTEMANCE TO CONNECTION
After the initia(connectiort has been made to the wafier service curb stop box or the sewer tead at the property tine vr a water service lead has
been extended to fihe property line for connedion,fihe appiicarrt,ourner,or occuparrt ar user of such premis�shalt be liable for a!(repairs
repuired to any water line and sewer Itnes necessary far connection af the premises from the main to the premises. if the property owner
requests mairrkenance service or repairs be performed by the City,the property ot�rner shaU be charged for ifie costs af the matrttenar�e and/or
repaars,including aecessary street repa�rs at a rate set annua!!y by an administrative poiicy. It shail be the responsibiliry o#the applicar�t,
owner,occuparrt or user to perform standard mairitenance of#he sewer service line from the premises to the main induding debris cteartng or
root cutting and to maintain#he water service curb stop box for operabitity and at such height as wiH ensure that it remains above the f�nished
grade af#he land or property. {Ref 638,1156,1191)