Meter Swap �
_ Request Number: 13392
Public Works Division
Service Request
Problem Addreas: 1544 S Timber Ridge Requested By: Jim Ren�d
Deputment: WATER Address: No ac�ess providcd
Problem/Isa�: INSTALL AMR METER Phone Number: 7849489
Schedul d Date: 2017-02-16 Se6ednled 1Ime: 01:00:00
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ACIION NEEDED:
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Created by: Wendy Hiett Date Crerted: 2017-02-09
ACIION TAI�N:
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FrFdley,M{P! 55432 (� ,� /
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� 9A��r hereby authorize the Ciiy af Fridley and/or its employees to do what is necessary to
replace the water meter. �undsrstand Nia#the proper#y nwner is liable for the mrater line from the main to the premise and all interior
piuertbing. (Per C'rty�ode d02.06� i also hold the City of Fridley and�ts employees harmless for eny slamages tt�at may occur while doing this
operation. This to incfude,bufi not lim'rted 3o xalves,piping,wails,floors or the curb stop box artd service line. In understand i am alsa requir
to obtain a permifi�rior to any�rorlc,if necessary.
Flt11AL 11AETER READIAIC(okt meterP,�� �� i�
Name: 0 1 V�. `�K.�,(�,� Addre$s_ ��'�6� � � ��U� -�,6���^�_
Phone Number __ �V���' 1 -` Date �� ��`� `
Signature Witness Signa�t�sre
OLD METER#q, r v/� �/ ���
OLD READtNG � � �� ��
NEW METER# _���'`=� ��CP
NEW READt(tIG �
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FRIDlEY ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER
ADM(iNISTRATiON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,I1S6,1191j
4a2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the euisfiing muniapal system and arry house or buldir�for which the
appfication is made,the owner or cornractor sha(1 be required to obtain a permit for such connection,and sF�all pay a permit#ee as provided irr'
Chapter 11 of this Code. After wcfi connection has been made,the Water and Sewer Oepartmerit sfiatl be notified. it sfwii be un(awfut to cove�
arry connecting line urrtif an inspection has been made and such connecfiion and the wor�c incideM thereto has been approved by the City as a
proper and suitabte aonnection.
4a2.06 REAAIRS AND 1NAfNTENANCE TO CORlWEC7'tON
After the initiaf connection has been made to the water service curb stvp l�ox or#he sewer lead at!�e propecty line or a water�errice lead(�as
been exfiended to fihe property line for connection,the applicarrt,owner,or accupar�t or user oF such premises shali be liabre fa�al!repairs
required to any water line and sewer lines necessary#ar connection vF the premises from the main to the premise.s. if the property o�rner
reyuests maimenance service or repairs 6e performed by the CFty,the properly owner shall be charged for the wsts of U�e mairrtenanoe and/or
repairs,including necessary street repairs at a rate set anoually by an administra�tive poliry. R shaN be the responsbility of the appiicarrt,
owner,occuparrt or user to perform standard mairitenance of the sewer service line firom the premises to the main including debris dearing or
root r,utting and to maintain the water service curb stop box for opera6ility and at such height as will ensure that it remains a6ove the finished
grade af the land or property. (Ref 638,1156,1191j