Meter Swap � � Request Number: 13079
Public Works Division
Service Request
Problem Address: 7518 Stinson Bl�d Requested By: Bruce Fyksen
Department: WATER Address: No address provided
Problem/Issuc: INSTALL AMR METER Phone Number: 763-218-2332
Scheduled Dste: 2017-02-42 Sc6ednled 13me: 08:30:00
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ACITON NEEDED:
Created by: Wex�y Hiatt Dnte Cres�tedt 2017-0i-25
ACIION T . �
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Stat�s: In Progress Submitter Has Been r,
CoMs�cted
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D�te Completed: Completed by:
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tNateo��eparta�ertt -
5431 ilniversityr Aversa�e Al� � �� ��� �
Fridle MN 55432 �' t, �'� �",� f�(�+ '
• 753 572-3565 ✓ � � ��� - ' ��� �
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ti/we hereby authorize the�ity af Fridley and/or its empioyees to sio what is necessary to
replace the water meter. 9 understand that the property owner is liable for the water line f�om the main to the premise and all irnerior
plumbing. {Per Crty code 402.06) I also hold the C'rty of Fridiey and/Fts empioyees harmless#or any damages that may occur while doing this
operation. This So include,but not limi#ed to valves,piping,wails,floors or the curb stop boz and service line. In understand 1 am also require�
to obtain a permit prior ta arry rvonc,�f necessary. - " -
FINAL METER READING(old meter �� � ��V
)
Name• �YUL� � �.,ata ` Address 1 � ` � v'� �' �
Phone Number�� C7 � ���_�'Z�r�.p� '�
Signature Witness Signature -
OLD METER#__1 I �� V � � �
OLD READtNG Ir `J v- ! ��
NEW ME7'ER# ���� � Z'- l 1
NEW REQDiNG �
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ERT#� 1�� (�1 � �, �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156,1191}
4Q2.5 PERMIT FEE
Prior to constructing or repair of any water vf sewer line connecting the existPng municipal system and arry house oc building for which the
application is made,the owner or cor�tractor shall be required to olrtain a permit for such�nnection,and shall pay a permit fee as provided iR
Chapter 11 of this Code. After such connection has i�een made,the Water and Sewer Departmerrt shaii be notif'ied. It shail be untawful to cover
any connecting line uMil an inspection has been made and such connection and the work inadeM thee�eto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAINTEfYAPICE TO CONNECTION
After the initiat connection has been made to the water senrice curb stop box or the sewer lead at the property iine or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or accupant or user of such premtses shali be liabie for all repairs
required to any water li�e and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance senrice or repairs be performed by the City,the property owner shall be charged for#he costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. R shall be ifie responsbility of the applicarrt,
owner,occuparrt or user to perform standard maiMenance of the sewer service line from the premises to the main includir�debris dearing or
root tutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191)