Meter Swap Y �
Request Number: 16229
Public Works Division
Service Request
Problem Address: 7941 Riverview Terr Requested By: Chris Nutting
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-432-9119
Scheduled Date: 2017-07-11 5chednled Time: 02:00:00
Ju. � .
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ACITON NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-OS
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ACT[ON TAI�N:
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Status• In Progress Submitter Has Been �,
Contacted
Date Completed: Completed by:
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�iityof FridBey � ( `(✓� l���V ��
Water Department ��� , rn , I�
6431 University Avenue NE �� `C
Fridley,MN 55432
763-572-3566
��°"�e hereby authorize the City of Fridtey and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any dar►�ages that may acur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also requ�red
to obtain a permit prior to any work,if necessary.
FIRIAL METER READING(oid meter l � a � � � �
�
Name: Y� � Iv V 1 Address_.�j I ' V/L-r" ���
Phone Number !iT � Date � � � � ��
�5� � Witness Si nature
OLD METER# �
OLD READING_�_ / � ! �/ V�v
NE1N METfR# '�C 1 ���`��
NEW READING�
ERT# ��i� � `���
FRIDLEI(CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITI�RY SEWER
ADMIAIISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to cunstructing or repair of any water of sewer line connecting the existing municipal system and any house or builcNng far which the
application is made,the owner or corrtractor shall be required to obbin 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 shail be notified. It shail be uniawful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the Clty as a
proper and suitable connection.
402.06 REPAIRS AND MAIPITEPIANCE TO CONNECTIOfY
After the initial connection has been made to the water service curb stop box or the sewer lead at the praperty fine or a water seroice lead has
been extended to the property line for connection,the appitcant,owner,or occupant or user of wch premises shall be liable frn all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mair�tenance service or repairs be perFormed by the Ci#y,the property owner shall be charged for fihe 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 responsibi4'rty of the applicarrt,
owner,occupant or user to perform sCandard maintenance of the sewer service line from Che premises to the main inctuding debris clearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
�rade of the land or property. (Ref 638,1156,1191)