Meter Swap . � Request Number: 15690
Public works Division
Service Request
Problem Addresa: 8016 Ruth St Requested By: Conella
Departme�: WA1ER Address: No a�ress provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-780-3745
Scheduled Date: 2017-06-OS 5cicednle�1lme: 08:30:00
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AC7iON NEEDED:
Created lty: We�y Hiatt ihte Created: 2017-06-01
ACTION TAKEN:
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Status: tn Pro ss Snbmitter Hns Been r,
� Cantacted
Date Compt�ted: Completed by:
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�ity o��ridley � I � ,�� l�j f /ti �� d^
Wa��r Departrraent `'1 � � U
,. 6431 llniversity Avenue NE � � i (� � —�
F�¢dl�ey, MN 55432 `�
763-572-3556
1/we hereby authorize the C�ty of Fridtey and/or its empfoyees to t!o what is necessary tu
replace fihe water meter. I understand that ifie property owner is{iable for the�rater line from the main to�e premise and ali irtterior
piurnbing. (Per C'oty code�OZ.06) f aiso ho{d the Crty of Fridiey and�ts employees harmless for any damages that may occur whle doing this
operation. This to indude,Esut not limiied to vafves,piping,walls.floors or the airb stop box ar+d service{ine. fn understand i am also requirc
to abtain a permit prior to any work,if necessary.
FIPIAL METER READING(oid meter) v 1 �
Piame: � `�. Address_ K/LJ `C� ��"� 1 r\ �j �
Phone 9Yumber��0� �NV � � p�e �Q"'��`�
�ir'��� Witness Signature
OLD METER# �Z�� � � I �
OLD READiNG � � ��2O
NEW METER# —1���`�2��
NEW READtNG �
E�# �l 222 `1 �-t 3�
FRIDLEY CITY CODE
CHAPTER 40Z.WATER,STORM WATER AND SAPIITARY SEWER
ADMINISTRATION �
(ttef Ord No 113,464,565,566,529,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
Pcior to constructing or repair af arry water of sewer line connecting the existing municipa!system and arry house or building for which the
application is made,the owner or cor�tractor shali be required to obtain a permit for such conoection,and shafl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. It shall be unlawful to cover
any corinecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by the C'rty as a
proper and suitable co�nection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop bex or the sewer lead at the properly line ar a waCer service dead has
been extended to the property line for sonnecCion,the applicant,owner,or occupant or user of suck�presriises shall be liab{e for afl repairs
required to�ny water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests mai�tenance service or repairs be performed by the�ty,the property owner shall be charged for the costs of the mairitenance and/or
repairs.including necessary street repairs at a rate set annually!�y an adm�nistrative paticy. 1t shalf be the responsibil'�ty of the appiicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and+to mairrtain the water service curb stop box for operability and at such height as wiU ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)