Meter Swap * ` � Request Number: 13119
Public Works Division
Service Request
ProMem Address: 1621 Onondaga St Requested By: Jonathan Gustafson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-502-68D2
Scheduled Date: 20 7-01-30 Scheduled Tlme: 08:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ted: 2017-01-2�
ACTION TAI�N•
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5tat�: In Progress Snbmitter Has Beea r,
Contacted
Dxte Completed: Completed by:
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vrratea-��ar�ta�en� �
6437.i�ndvess7tyl�veaaa�e NE
Frat1ley,N!N 55432 .� 1 -� ���(p�—� �.,
, 753-572-3566 7 � � �-� C� (
°�/�7°� here6y authorize#he z'i�i:y af Fridley and/or its empioyees t do what is oecessary to
replace the water meter. 1 unclerstand ti�at fihe property oarner is tiabie for fihe water line�rom the main to the premise and all iciterior
plurrtbing. (P�r Crty code 402.06) i also hold the�ity�f Fridley and/'rts employees harmless#or eny damages tt�at may occur rrFiile doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box ancl service line_ In understand!am also requir
to obtai�a a permit prior to ar�y wor�c,'sf necessaey.
FINAL METER READfNG(old meter) v V � � • `-' �
Name: �� ress ���v �� �� ��
Phone Numbes- t7 �/ � ��"' � ^' �,�
Signature Witness Signature
OLD METER#_� ��� �v i� �
OLD READING�� S � �� d
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AiEW METER#� ��'� ���D�Z� ` �'" �
idEW READING �
ERT# � �� 1 ��� .
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMIW ISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,i191)
4Q2S PERMIT FEE
Prior to cortstructing or s-epair of any water of sewer fine connecting the existing municipai system and arry house or bu7d�for wh�ch the
applicatian is made,the owner or cor+tractor sha(1 be required to obtain a permit for such connection,and shalt pay a permit fee as proyided in
Chapter 11 of this Code. After such conneciion has been made,the Water and Sewer Departmerrt shali be notified. it sfiail be untawful to covve
any connecting line urrtil an inspection has been made and such connection and the wo�c inaderrt thereto has been appro�red by the City as a
proper and suitable conn,ection.
402.06 REPAIRS AfItD MAINTENpWCE TO CONNECi'IaM
After the initial connectivn has been made to the water service curb stop 6ox or the sewer(ead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of wch premises shaq be Rat�le for a11 repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the prvperty ewner
requests mairrtenance service or repairs be perFormed by the City,the property owner shaH be charged for#he�of the mairttenance and/or
repairs,induding necessary stree#repairs at a rate set annuaily by an administrative poliry. R shall be the responsbilit'y of the a�licant,
owner,occuparrt or user to perForm standard mairrtenance of the sewer serrice line from the premises to the main indudirig debris dearing or
root zutting and to mairrtain the water service cur6 sfiop box for operability and at such height as wili ensure that it remai�u a6ove the fin3shed
grade trf the land or property. �Re#638,1156,1191)