Meter Swap �
Request Number: 15647
Public works Division
. Service Request
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z, Problem Addreas: 792.1 Ri�rview Ten Requested By: Joel Marquardt
Department: WA1ER Aaddress: No a�ress provided �
Problem/Issue: INSTALL AMR METER Phone Number: 612-298-8268
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� Sched�iledDate: 2017-06;01 5chedWedllme: 08:00:00
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AdCTZON NEEDED:
Created by: Beth I�ondrick Date Created: ZU 17-OS-31
AC1�A�1 TAKEN: .
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Sta�us: In Progress Sabmitter Has B�ea r,
. Contactcd �;.1
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�Date Con�eted: � �. I v ,� � Completed by: ` ��
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� Cit}�o#fr�dleY ��V��1
. Water Depa��aent �) �'� �(
6431!)niversity Avenue NE 1 � �(��
Fridi�ey, MN 55432 �U Y
763-572-3556
1/we hereby authorize the Crty of Pridley and/or its employees to do what is necessary to
replace the water meter. 1 urtderstand that the�roperty owner is liabte for the water line from the main to the premise and all intereor
ptumbing. {Per�'�ty code 402.06) 1 also hold the Cit�of Fridtey andJits employees harmless for arry damages that rnay occur while doing this
operation. This to indude,but not limited to vatves,piping,walls,floors or#he curb stop box and service line. In understand t am also requir�
to abtain a permit prior to any work,if necessary.
FINAL METER READIAFG(old meter) �� I �V` l �
Name:��'e,� ��1.��-�IGL��� Address 1 1� 1 ��v e1/��(��w �"�\ ► ,
Phane�l er ��� p� V� ��V Date �G ! � r l l
Signat WitnessSignature `—
OLD METER#_ �� � ��^��
OLD READING � � � �I �
NEW METER# � � �0�� ���
NEW READIRIG �
E�RT#__ ���� f��_
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAPIITARY SEWER
ADMBYfSTRATION �
�tte�Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
4Q2.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line conaecti�g the existsng mun+cipa{system and arry fiouse or buiiding for which#he
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shati pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewec Departmerrt sha{{be natified. 1t shali be uniawFul to cover
any connecting line urrti!an inspection has been made and such connection and the work incident thereto has been approved by the C�ty as a
proper and suitable connection.
402.06 REPAIRS APtD MAINTEfyANCE Tp COMNECTION
After the initial connectiort has been made to the water service curb stop box or the sewer lead at the properly line or a water senrice lead has
been extended to the property line for connection,the app(icar�t,owner,or occuparrt ar user of such premis�sfialf be tiable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property oarner
requests maintenance senrice or repairs be performed 6y the City,the property owner shafl be charged for the costs of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. !t shail be the responsi6ility of the applicant,
owner,occupant or user to perform standard mai�enancQ of the sewer service{ine from the premises to the maia induding rlebris dearing or
root cutting and to mair►tain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the(and or property. (Ref 638,1156,1191)