Meter Swap a
Request Number: 15715
Public works Division
Service Request
Problem Address: 7175 Rirerview Terr Requested By: Daisy Nagel
Department: WATER Addres�: No address pcovided
Problero/Issue: INSTALL AMR METER Phoae Number: 571-6361
Scheduled Da�:_--.� 2017-06-0 ��Sc�edul4d'I7me: 01:00:00
� I �
AGTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-02
AC'ITON TAI�N:
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Status: In Progress ���er Has Been r, ,
Contacted
Date Compl eted:` � / _J f � Completed by: ` ��
lB �G I J �
�City o#Fridley b '
. Water Departrraent Ii_ t� �
6431 lJniwersity A�enue NE �� �'�'�J \��
� Fridley,MPI 55432 (�
763-572-3566 � � `� ��
��°"�e hereby authorize the Crty of Fridley and/or its employees to do what is necessary to
repiace the water meter. t understand that the property owner is liable for the water line from the main to the premise and all iriterior
plumbing. (Per�'rty code 402.06j I also hold the City of Fridiey and/its employees harmless for any damages that may occur whiie doing this
operation. This to indude,but not limited to vatves,piping,walis,floors or the curb stop box and seroice line. in understand!am also requirr
to abtain a permit prior to arry worlc,if necessary.
FINA!METER READ{NC,(old meterj � � �c l/ ���
wame: 1��G5�-/ (`�Cl,�t2, ( Address__ � I I �-L'�`e!r"l1 �''EU�J � .r"'�'
PhoneNumber ✓ 6 1 `� VG �l 0� �' LIL "— (,�
Signature Witness Signature
OLD METER# 3�� ����o y
OLD READING " �"�'"" ��
Nf W METER# �I��� � � � V/
NEW READING v
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565,566,629,638,662,9?Z,988,1144,1156,I191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting#he existing municipa(system and any house or building for whicfi the
appfication is made,the owner or cor�tractor shall be required to abtain a permit for such cnnnection,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 nofified. It shall be unlawfui to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper end suitable wnnection.
4Q2.06 REPAIRS AND MAINTEPIANCE TO COPtNECT101V
After the initial 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 applicant,owner,or occupar�t or user of such premises shall be liable for all repairs
required to any water line and sewer fines necessary�For connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the cons ofi the mairrtenance and/or
repairs,including necessary stree#repairs at a rate set annually by an administrative policy. It shali be the responsibility of the applicant,
owner,occuparrt or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting end ko mairrtain the r�+rater service curb stop box for operabitity and at such height as will ensure that it remains above fihe finished
grade af the iand or property. (Ref 638,1155,1191j
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City of Fridley
Water Deua t�ent ,
Address� ��J��t�� C�12 .
Name_ [�p�42�f..� ��A��L
Date ��-�
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Old Meter Number_ ! �yg�j��j�
Old Meter Reading �
Replacement No,_3 � �L/
Replacement Reading �
Replacement Make ��}I�
Remarks•_ �(� /y��Z-,�
Signed �� � �