Meter Swap .
" Request Number: 12792
Public Works Division
Service Request
Problem Address: 1651 Ono�aga St Requested By: Scott I.arson
Department: WA'IFR Addreaa: 16S 1 O�ndagi St
Fridtey,MN SS432
Problemllssne: INSTALL AMR METER Phone Nnmber: 61 Z-710-?567
Scheduled Date: 2017-0 -18 � Sc�ed�rled 11�: 10:00:0(t
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AC'IION NEEDED:Install AMR
Crexted by: Beth Kondrick Date Cre�ed: 2017-01-09
ACIIO TAKEN: . �
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St�t�: In Progiess Ssbmitter Haa�eea �
Co�acted
Date Completed: Compteted by:
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City of Frid{ey
Water Department
' 6431 University Avenue NE � � � �J � ��'yv���
. Fridley, MN 55432 �
763-572-3566 C "�a �
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Uwe hereby authorize the City af Fridfey andjor its employees to do what is necessary to
replace the water meter. 1 understand that the property owaer is Itable for the wate�line from the main to the premise and ail intesior
plumbing. (Per City code 402.06) i atso hoid the�ty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or tfie curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER REA I G(ofd meter) � S � �� � �
Name:��� 1—��-RJ►� \ Address `�� { O h�� �- ��
Phone Number~�� � ' `-�r��t��e �,"` l � ~ ` l
Signature V �y"`""' Witness Signature �" L __._....-----..
OLD METER#_-1� t � (�J��2
OLD READING �S 1��jOO
NEW METER# ��� � � ����
NEW READI G �
ERT# 1J � � � �� �
FRIDLEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER AND 5ANITARY SEWER
ADMINtSTRATION
(Ref Ord No 113,464,565,566,629,638,662,92Z,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connetting the existing municipal system and any house or building for wfiich the
application is made,the owner or contracto�shall be required to obtain a permit for such connedion,and shaU pay a permit fee as provided in
Chapter 11 of tfiis Code. After such connection has been made,tfie Water and Sewer Department shall be notified. k shail be uniawful to cover
any connecting line untii an inspedion has been made and wch connettion and the work incident thereto has been approved by the Cdy as a
proper and witable connection.
4U2.06 REPAIRS AND MAINTENANCE TO CONNECT101Y
After the initiai connection has been made to the water service curb stop box ar the sewer lead at the property line or a water service lead has
been extended to the property►line for connection,the appiicani,owner,or occuparrt or user of such premises shaN be tiable for all repairs
required to any water line and sewer lines necessary for connecCion of the premises from the main to the premises. if the properly owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the malntenance and/or
repairs,lncluding necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibillty of the applica�,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises ta the main including debrts clearing os
root cutting and to maintain the water service cu�b stop box for operability and at such height as wiN ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191)