Meter Swap � Request Number: 15692
Public works Division
Service Request
Problem Address: 8151 Ruth Circle Requested By: Jolm Lodato
Department: WATER Address: No address provided
Problem/Issne: INSTALL AMR METER Phone Number: 612-388-?598
Scheduled D�te: 2017-06-OS � Schedaled 1Imc: 09:00:00
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ACIION NEEDED:
Crexted by; Wendy Hiatt Date Created: 2017-(f6•O1
ACITON T.�I�N:
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Status: In Progress Submitter Has Been r,
Contaeted
Date Completed: Com�eted by:
6 �- G� � �r
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�ii:y o#�r6d�ey
. wat�r���a��,e�� ��c� --52ab�—��
. �43�l�niversity Avenue NE fG
Fa'idley,MN 55432 � � � �} 5��
763-572-35Sb �
�J'a� hereby authorize the Gty of Fridley and/or its empioyees to do what is necessary to
replace the water meter. i anderstand that the property owner is liable for the water line from the main to the premise and alt irtterior
plumbing. {Per City code 402.06j 1 also hoid the City of Fridtey and/its emptoyees harmless for any damages tfiat may occur while doing this
operation. This to include,but not limited to vatves,piping�walts,floors or the curb stop box and service line. In understand i am also requir�
to abtain a permit prior to any work,if necessary.
FBNAL METER READiNG(old meterj r � I t �O
Plame:����j�, �tl�,� Address_�Y�� �iJ�, ��'
Phone lYumber������� ✓ f� p� �Q' (�"��,,
y Signature Witness Signature \������_
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OLD NlETER# � �� -1 �� � —I
OLD READlNG �O i � ��
NEW M€TER#_`�l"ti Zfi�2 J�
NEW READING 11
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FRtDLEY CITY CODE
CHA(�TER 40Z.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(�tef Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and ariy house or buifding for which the
application is made,the owner or contractor shalf be required to obtain a permlt for such connection,and shatl pay a perm�t fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmertt shall be notified. It shall be uniawfut io cover
any connecting line urrtil an inspectivn has been made and such connectian and the work incident thereto has been approaed 6y the City as a
proper and suitab{e connection.
402.06 REPAIRS AR1D MAINTENANCE TO COPINEC770N
After the initiai 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 appiicarrt,oarner,or occupant or user of such premises shall be RaWe for all repain
required to any water line and sewer lines necessary for connection of the premises from the main to the prernis�s. tf tfie properiy owner
requests maintenance service or repairs be performed by the City,the property owner shaii be charged for the costs of the mairrtenartce and/or
repairs,inctuding necessary street repairs at a rate set annually by an admirtistrative poliry. It shall be the responsibility of the applicant,
owner,occuparrt or user to perform standard mairrtenance of the sewes ses�vice line from the premises to the main including s3ebris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as witl ensure that it remains above tEie finishect
grade of the fand or property. (Refi 638,1156,1191)