Meter Swap r w ,
Request Number: 13044
Public Works Division
Service Request
Problem Address: 7600 Stinson Blvd Requested By: Michelle
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 1-218-Z09-8023
Scheduled Date: 2017-01-27 Schednled Tlme: 08:00:00
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AC1iON NEEDED:
Crexted by: Wendy Hiatt Date Created: 201?-01-24
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Stntus: In Pro ss �abmitter Haa Been �,
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Date Completed: Completed by:
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6431 lDnaversity Avenue 6VE 5 �; J
Fridley,MN 554.32 � �v�
753-572-3566 � (5 �� `}U�
• �/'Ne hereby authorize#he�"rty af Fr�dley and/or its employees to tlo what is necessary to
replace the water meter. 1 u�derstand that the propee�ty owner is liabie for the bvater line from the main to the premise and all i�erior
pluerebing. {Per City coale 402.�6j i atso hold the emr of Fridfey andrts employees harmless for any damages that may occur white doing this
operation. This#o include,but not lisrirted to valves,piping,walis,floors or xhe curb stop box and service line. In understand 1 am also require�
to abtain a permifi pr'sor fio any wor{c,'sf necessary.
FINAL METER READIWG{oId meter) � � �� ��
1Vame: ���/" "'"y� !�CJ ���� V
Address
PhoneNumber�'��� /hllr ��Z� a� � "' Z V'_- ��
Signature Witness Signature
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OLD MIETER# _ �� � ����
OLD READtNG V 1� � I�
NEW METER#��� ���S
NEW READING �
ERT# !IV E/ �! `
FRIDI.EY CITY CODE
CHAP�!'ER 402.WATER,STORM WATER AND S�tN1TARY 5EWER
ADMINISTRATION
(Ref Ord Plo 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing munic'spat system and arry house or Iwiiding fo�which the
appiication is made,the owner or corrtractor shall be required to obtairi a permit for such connection,and shail pay a permit fee as providecl in
Chapter 11 of this Code. After wch coanection has been made,the Water and Sewer Department shall be notified. tt shati be unfaxrfui to cover
any connecCing line until an inspection has been made and such connection and the work inaderrt thereto has been appro�ed by the City as a
proper and suitabte cannection.
402.06 REPAiRS AND MAtNTE111ANCE TO COMNECT'ION
After the initiai connection has been made to the water sesvice curb stop box or the sewer fead at fihe property line or a water service Iead has
been extended#o the property I�ne for connectian,tF�e appiicam,owner,or accupant or user of such premises sF�ali be liable for ail repairs
required to any water tine and sewer(9nes necessary for connection aF the premises from the main to the premises. tf the property owner
requests maicrtenance service or repairs be performed by the City,the property owner shail be charged for#he costs of the mairrtenasic�and/or
repairs,including necessary street repairs at a rate set annually by an administrative pof�cy. It shall be the responsibitity of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the prest►ises to the main includi►�g debris dearing or
root cutting and to mairrtain#he water service curb stop box fo�operabili#y and at such heigfit as wiN ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)