Meter Swap �
� ° Request Number: 13023
Public Works Division
Service Request
Problem Address: 1601 O�ndaga St Requested By: Robert Locker
Departmeut: WA1ER Address; No address pcovided
Problem/Issr�e: INSTALL AMR METER Phone Numbcr: 763-786-5415
Scheduled Date: 2017-01-24 Scredaled 11me: 08:00:00
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ACTTON NEEDED:
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Cre�ted by: Wcndy Hiatt D�ate Cre�ed: 2017-01-23
ACIION TAt�N:
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Statns: In Progress Sabmitter Has Been r,
Co�acted
Dxte Completed: Completed by:
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iAPatea-�e�artmevtt c� � �� � f //
5431 Universi�tyr Avereue 9V� � ! ,/
Fridley,MN 55432 �j�'� �� ��',-�l �
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753-572-3565
�/'N� her�by authorize the Ciiy o#Fridley and/or its employees to do what Bs necessary to
replace the water meter. 1 understand that the properky owner u liabte for the water line from the main to the premise and al!ir�terior
}�lumbing. (Per City code 402.06j i also hold the City of Fridiey and/its emptoyees harmless for any tlamages that may occur while doing this
operation. This#0 9nctude,but not limited to valves,piping,walis,flooes or the curb stop hox and senrice line. In understand I am also require�
to obtain a permit prior to any work,�f necessary.
FitYAI.METER READING(oid meter) `-� � � I � � �
llfame:_ ��� WL�c-C�_Address � �V � �1 ti , � J�
Phone Number_ l G'� ��p� L)� L� Date ���`� ��
Signature `�—� Witness Signature
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OLD METER# ���� ��-�, � � �,��
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OLD READtNG �_� � � � � - �7��
NEW METER# �� ��, (r,J 1 ��
NEW READtR1G�_
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AWD SANITARY SEWER
ADMINiSTRAT(OAt
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1i56,1191}
402.5 PERMIT FEE
Prior to cortstructirtg or repair of any water of sewer Pine connecting the existing rr�unidpat system and arry house or buitdir�for wfik�d�e
applicafiion is made,the owner or contractor sha(I be required to obtain a permit for such connection,and shali pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notified. R shall be untaarful to c.over
any connecting Line urrtil an inspection has been made and such connection and the work inciderrt thereto has been approved by the Giy as a
proper and suitabte connection.
402.06 REPAiRS AND MAINTENANCE TO COPtNECT10N
After the initial connection has been made to the water service curb stop box or the sewer lead at the pmperty tFrte or a water service�ead has
been extended to the property line for connection,the applicarrt,owner,or accupaM or user of wch premises shall be liabie for all repairs
required to any water line and sewer(ines necessary for connedion of#he premises from the main to the premises. if the property owner
requests main#enance service or repairs be perFormed by the City,the property owner shatt be cF�arged for the costs ofi the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appiicarit,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main i�cluding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as w�i ensure that�t remains above the flnished
grade of the land o�property. (Ref 638,1156,1191)