Meter Swap ' Request Number: 13050
Public works Division
Service Request
Problem Address: 1682 Osbome Rd Requested By: Latme Weisen
Department: WATER Addresa: No address provided
Problem/Issne: INSTALL AMR METIIt Phone Nnmber: 612-220-2331
Scheduled Dnte: 2017-01-27 Schedaled 1ime: 11:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-01-24
ACIION TAI�N:
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St�us: In Pro ss Submitter Haa Becn r,
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Date Completed: Completed by:
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Wi8�2��L�Dat"tB7'1C'tlt t.-- .�') � '� i"'
6431 University Avereue NE �(� �� rlj
Fridtey, MN 55432 S �fS3�p�)�v l
- 763-572-3566 � � 3 � .
' ��'"�e hereby authorize the City af Fridley and/or its empioyees to t!o what is necessary to
replace#he wafier meter. 1 understand that�he property owner�s liable for the water line from the main to the premise and all interior
plumbing. (Per C�ty code 402.06) i also hold the City of Pridley andrts employees harmless#or eny damages that may occur while doing this
operation. This to inciude,but not Bimi#ed to valves,piping,walis,floors or the curb stop box and service line. In understantl!am also require�
to obtain a permifi prior to any�vor�c,if necessary.
FIAIAL METER READIPiG(otd meter) �� � � I i �
lYame:_�,�tiw� 1 C�i �'�ti')�� �� � � C:Ju�
Address
Phone Number ���`���� L��i Date _ �� �� '� ` �
Signature WFMess S�nature _
OLDMETER#_ — `�� �� � J
OLD READ[NG ��� 1 � _ 1�
NEW METER# `�^�,�O� � ` � ��� �
NEW READING� ,^ �
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ERT#_� I (�lJ�� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtN ISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,I156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipat system and arry house or building for which d�e
application is made,the owner or corrtractor shall be required to abtain a permit for such connection,and sf�all pay a pertnit fee as provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shail be unta�wful to cover
any connecting line ur�til an inspection has been made and such connection and the woric inciderrt thereto has been approved by the C'dy as a
proper and suitabie connection.
402.06 REPAIRS AWD MAIPi1'EfyqPICE TO CONWECTION
After the inifiia!connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the appiica�rt,owner,or occupas�t or user vF such premises shaN be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff#he property�rner
requests main#enance senrice or repairs be pe�Formed by the City,the property owner s(�wil be charged for#he costs of the mafntenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibil'�ty of the applicarrt,
owner,occupant or user to perform standard mairrtenance af the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop l�ox for operabifity and at such height as wiD ensure that it remains above the finished
grade of#he land or property. �Re#638,1156,1191)