Meter Swap .
, Request Number: 16053
Public works Division
Service Request
Problem Address: 140 Rickard Rd Requested By: Robert Jensen
Department: WATER Address; No a�ress�ovided
Problem/Iasue: INSTALL AMR METER Phone Number: 763-587-5600
Scheduled Date: 2017-06-2 Scheduled 1ime: 09:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-19
ACTION TAI�N: �
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Status: In Progress Submitter Has Been r,
Co�acted
DateCompleted: Completedby: "�'-
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Ciiy of Fridley � � � - �i� �r� -a 3
{ Water Departraieret �g � �� �G
� 6431 University Avenue NE �
Fridley,MN 55432
7�3-572-3566
��We hereby authorize the Crty of Pridley and/or its employees to do what is necessary to
replace the water meter. f understand that the property owner is liable fo�the water line from the main to Lhe premise and atl irrterior
pfumbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may acr.ur while doing this
operation. This to include,but not limited to valves,piping,waNs,floors or the curb stop box and service line. In understand 1 am also requtred
to abtain a permit prior to anq Mrork,if necessary.
FiNAL METER READING(ofd meterJ � � ` ��
Name: � ���`(�, Address_ _ YL} �_��� �-
Phone Number Y.� ���'��)�CJI.J�-� Date l�� �"� ��
Signature Witness Signature
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OLD READING L/� ��O
NE1A/METER# _ "1�Z� f���
NEW READING�
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FRIDLEIf ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4�i,565,566,629,638,662,9Z2,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer iine connecting the existing municipal system and arry house or building for wfiich the
apptication is made,the owner or contractor shall be required to obtain a permrt 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 Department shalt be not�ed. It shali be unlawfui to cover
any conneding itne until an inspection has been made and such connection and the work incident thereto has been approved by th�City as a
proper and suitable connection.
402.06 REPAIttS AND MAIN7ENANCE T+D CONPIECTtON
After the initial connection has been made to the water service curb yYup box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or occupar�t or user of such premises shali be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from tbe main ta the premises. tf the property owner
requests rnaimenance service or repairs be performed by the City,the property owner shatl be charged for the costs of the mairrtenance a�d/ar
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responstbi{ity af the applicarrt,
owner,occupant or user to perForm standard rnaintenance of th¢sewer sEnrice line from the premises to the main including debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such heighC as will ensure that it remains above the finished
grade of the fand or property. (Ref 638,T156,1191)