Meter Swap Request Number: 12677
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Public Works Division
Seivice Request
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,.-Problem Address: 7362 Symphony St Reqciested By: Tom Eyong
I3epArtme�: WA1ER Addres8: 7362 Sympho�+St
Fridlcy,MN 55432
ProMem/Is:ue: INSTALL AMIi METER Phone Nmnber: �63-670-6072
Schediiledllnt : 2017-0t-03 � Schedaledllme: 08:OO:UO
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ACTION NEEDED:I�tall AMR
Created by: Beth Kondrick DAte Creaked: 2016-12-30
ACIiON TAI�N:
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Stat�: In Progress Sabmitter Hu Been �.,
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Date-Completed: .�— � '' � � Compieted by:
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City of Fridley � , � /�
Water Department b `�
6431 University:Avenue NE
Fridley,MN 55432 �j��'�`a �� ��G�
763-572-3566
• �/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) � � ���
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Name• qddress
Pho�e Number � �3—"�' U "tl1�7�Date � � � � ` �
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��5ignature �, "' I Witness Signature
OLD METER# I�� " " V l��
l,�OLD READING �� I,� U��
NEW METER# �� ` I ��� V
NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER '
ADMINISTRATION � ,� - .
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
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4025 PERMIT FEE �`; � ,�
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Prior to wnstructing or repair of any water of sewer line connecting the existing municipaf system and arry house or butWir�g ` �the "`
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit f� '�d�d in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be notified. tt shal�be unlawfu!1�:C�ver
any connecting line until an inspection has been made and such connection and the work incider�t thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properry line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises sF�all be IiaMe for aN repairs
required to any water line and sewer lines necessary for con�ection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the matr�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. k shall be the responsibii'�ty of the appliprrt,
owner,occupant or user to perform standard mairitenance af the sewer service line from the premises to the main induding debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,3156,1191)