Meter Swap �
i Request Number: 15980
Pubtic Works Division
Service Request
Problem Address: 8131 Ruth Circle Requested By: A1 Blomker
Department: WA1ER Addresa: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Nwnber: 612-978-6824
Scheduled Da1:�� 2017- 6-16 � 5cheduled Ttme: 07:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt D�te Cr�ated: 2017-06-14
ACTION TAI�N:
....................�._�,..��' �i i�........._._._......._•___�_�____"^�"'". ___......................__.._..._...__...._,. ..
Status: Tn Progress Submitter Has Been r.
Contacted
Date Completed: Completed by:
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' �431�JniversBty Averoue NE
Fr6dfey,MN 5543Z
7ti3-572-3566
r/'Ne hereby authorize the Gty of Fridley and/or its empbyees to do what is necessary to
replace The water mettr. I understand that the pro�erty owner is liable for the water line from the main to the premise and all interior
plumbing. {Per�ity code 402.06j i also hold the Cit�of Fridley and�ts employees harmiess for arry damages that may ocwr while doing this
operatian. This to include,but not lim'rted to valves,piping,watts,floars or the curb stop box and se►vice line. in understand 1 am also require
to obtain a permit prior to arry work,if necessary.
FINAL METER READt9�tG{oid meterj �r� ��D
Alame: W 1�'�-n Address l���1 �� v'• �'L
Ph e!Yu � 1 v� ��'"""�' Date �� �YJ— , {
� 5i atu Witness Signature
OLD METER# � ��� ����
OLD READING I f��lJ � J O
NEW METER# ����Z—I`�
NEIA/READING �,1
ERT# ��J��� A 4
FRIDIEY CITY CO�E
CHAPI'ER 4QZ.WATER,STORM WATER AND SANITARY SEWER
ADMiNISTRATION
(�tef Ord AIO 113,4�64,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
P�ior to constructing or repair of any water of sewer line co�necting the exssting municipal system and arry house or building for which the
application is made,the owner or contractor shait be required to obtain a permit#or such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has 6een made,the Water and Sewer pepartmerrt shaii be nofi�ed. It sha11 be untawfut to cover
any connecCin�line urrtil an inspection has 6een rnade and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AR(D MAINTENANCE TO COMIYECTIQRt
After the initial connection has been made to the water service curb stap box ar the sewer iead at the propertyr line or a water servke lead has
been extended to the property line for sannecCian,the appticar�t,owner,�r occupant or user of such premises shail be liable for a11 repairs
required to any water line and semrer 4ines necessary for connection af the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be perfvrmed by the C'rty,the property owner shall be charged for the costs of the maiMenance a�d/or
�repairs,inc(uding necessary street repairs at a rate set annuaity by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of fihe sewer service line from the premises to the main inc)uding debris dearing o�
root cutting and to mairrtain the water senrice curb stop box for operabitity and at such height as wiil ensure that it remains above the finishec(
grade a#the ia�d or property. (Ref 638,1156,1191)