Meter Swap , . Request Number: 16305
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Pablic Works Division
� Service Request
Problem Address: 521 Rice Creek Bl�d Requested By: Nate
Department: WATER Address: No address provic�ed
Problem/Issue: INSTALL AMR METER Phone�Tumber: 651-325-6876
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Scheduled Datec� 2017-07-13 Scheduled 1Ime: 02:00:00
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ACTION NEEDED:
Crexted by: Wendy Hiatt Date Created: 2017-07-12
ACTION TAI�N: ' .
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Status: In Progress Submitter Has Been r.
Contacted
Date Completed: � � ��� Completed by: �,R `,,,�
`1 yWw`G
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C. � �4� 5 ����-� z
rty of Fridtey
. Water Department �� ���
< v 5431 Univ�rsity Avenue NE
Fridley,Mld 55432
763-572-3566
��`iVe hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the main to the p�emi5e and all interiar
piumbing. (Per C'ityt code 402.06) D also hold the City of Fridley and/its employees harmiess for arry damages that may occur while doing this
operation. This to include,but not limited to vaives,pipin�walis,floors or the curb stop boz and senrice line. in understand i am also required
to obtain a permit prior to any wc�k,'rf necessary.
FINAL R/tETER READING(old meter)- b �� /� �,f� V �
Name: ��� Address ��� f V �1 v�,,1� 1��lG�•
Phone Number LY �7 " � '�v��p�e � "' �,� '"'�� !
'�Signatufe Witness Signature "�+ J �
OLQ METER# �� �!/ c� CQ I l y � I�D� �'�t'�1'`-t'
OLD RfADiNG � � � / �V � �
NEW METER# �l q 3� 5 t� 9 �
NEW READING �
ERT# ` �� I V �� �
FRiDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AiYD SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting tfie existing municipal system and arry house or building fo�which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and sfiaii pay a permit fee as provided in
Chapter 11 of this Code. After such connection has i�een made,the Water and Sewer Oepartment shalt be notifiied. ft shall be unfawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by#he City as a
proper and suitable connection.
402.06 REPAIRS APID MAINTENANCE TO COPINECT{OAI
After the initial connecCion has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the ap�licant,owner,or occupasrt or user af wch premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. !�F the property owner
requests mair�tenance service or repairs be perforrrted by the City,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appitcant,
owner,occupa�t or user to perform standard mairitenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to maintain the water service curb stop box for operabif'n.y and at such height as wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191A