Meter Swap � ' Request Number: 16409
Public works Division
Service Request
___�---'.-___.___..._:__._�_____._---------__------._---._._-------.--------- - ---.
Problem Address• 155 Rickard Rd Requested By: Lester
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-245-3981
Schednled Dxte: 2017-07-21 Schednled 15me: 01:30:00
' C ST ' 3
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-20
ACTTON TAI�N:
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Status: In Progress Submitter Has Been r,
Contacted
Date Completed: �^�f` f� Completed by: ��
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�C'�r�f Frael9eY /� �v�/�{
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� iA/atea-�e@�aortmeret �V� /"-1 �
6431 i�r�aversity Ar�enue NE
Frisfley,MN 55432
7fi3-572-3566
�,°/�� hereb�authorize the City of Fridley and/or its employees to do what is necessary ta
replate the urater meter. t understand that the property owner is liable far the arater line from the main to the premise and all interior
. plumbing. (Per C.ity code�OZ.06) I atso hold the�ty of Fridley and/its employees harmtess for arry damages that may occur while doing this
operafion. This to inciude,but not limited to vatves,pipin�walis,floors or the curb stop boz and service line. In underst-and i am also require
to obtain a permit prior to any wortc,if necessary.
FINAL METER READit�lG t � " V�� �
(o d meterj �
Name- ��i��r ^ Address _ �J� M��[A�� � •
Phone Number �i����"�� — �pl Date_ L `� �� � � l
Signature Witness Signature
OLD METER# y����� �� �
O!D READlNS3 � ��� �Ii�
NEW METER# � ��� ��� I
NEW READfNG V
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ERIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AMD SANITARY SEWER
ADMlNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMlT FEE
� Prior#o constructing or repair of any water of sewer line connecting the existing rnunicipal system and arry house or buifding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawfvl to cover
arry connecting line urrtil an inspection has been made and such connection and the work inciderrt thereto has 6een appro+red by the C'rty as a
proper and suitabie connection.
402.06 REPAIRS AP(Q MAINTENANCE TO COPINECTtOfY
After the initiai connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water senrice iead has
been extended to the property line for connection,the applicant,owner,o�accuparrt or user of wch premises shall be liable for alt repairs
required to any water line and sewer li�es necessary Por connection of the premises from the main to the premises. If the properly owner
requests mairrtenance service or repairs be per�ormed by the City,the property rnaner shall be charged for the eosts of the mairttenance and/ar
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the respo�sibility of the applicarrt,
owner,occupant or user to perform standard mairrtena�ce of the sewer service line from the premises to the main induding debris ciearing or
root cutting and+to maimain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade�F the land or property. (Ref 638,1156,11910