Meter Swap � ' Request Number: 13008
Public Works Division
Service Request
Problem Address: 7584 Stinson Blad Requested By: Terry
Department: WA1ER pdd�.eg8: 7584 Stinson Blvd
Fridley,MN 55432
Pro�em/Is:ue: INSTALL AMR ME1ER Phone Nnmber: 612-210-7050
Schednled Date: 2017-01-31 Sc6ednled'I1me: 02:OO:QO
.PS .___f� ) Sr- � ►.,--�
ACIION NEEDED;I�tail AMR
Created by: Beth Kondrick Dxte Created: 2017-01-23
ACTiON TAKEN: �
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Status: In Progress �b�itter Has Been r
Coetacted
Date Completed: Completed by:
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1N�te��epartavsent /
6431 i9naversity/Averaue 9V� �� ,� ./� �,��
Fridley,MN 55432 /
� 753-572-3566 � ������� �j
� 1/we hereby authorize tt�e Ciiy af Fridley and/or its empioyees to do what is nece�ary to
replace+the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and atl interior
plumbing. (Per C'rty code 402.06) i also hold the Crty of Faidley and/Fts employees harmless#or eny rJamages that may occur while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. In understand!am also require�
to obtain a permit prior to arry work,if aecessary.
FINAL METER READING(old meter) � ��� '�"'� �
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Name: ti-�� pddre� � �'1
Phone Number � � (/' ����pate ^k��_ � �
c
Signature ��... Witness Signature
OLD METER#_ 1 q � �t�U j�
OLD READtNG �v�9����
G�/� �
NEW METER# It/ �
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NE1N READ1111G �'�-"
ERT# � 1�GJ �� /�1p 3 .
FRIDLFI(ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTAttY SEWER
ADMIAi1STRATiOM
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,119I]
402.5 PERMtT FEE
Prior to constructing or repair of any water of s�rer line connecting the ex�s#ing muniapal system and arry house or building for which the
applicafiion is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided irr
Chapter 21 of this Code. After such cortnection has been made,the Water a►�d Sewer Departmerrt shafl be notified. tt shail be untawfu(to cover
any connecting line untii an inspection has been made and such connection and the work inaderrt thereto has been approred by the City as a
proper and suitable connection.
402.06 REPAIRS pt►1D R1IAINTENANCE TO CONNEC170N
After the initial connectiort has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or accupant or user of such premises shalt be tiable for all repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. if the property orr��
requests mair�#enance senrice or repairs be pe�fiormed by the City,the property owner shail be charged for#he aosts ofi the mairttenance and/or
repairs,including necessary street repairs at a rate set annually by an administratide poliry. R shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maiMain the water service curb stop box far operability and at such height as will ensure that it remains a(�ove the finished
grade of#he tand or property. (Ref 638,1156,1191j