Meter Swap .
Request Num6er: 16069
Public works Division
Service Request
Problem Address: 105 Talmadge Way Requested By: Stacy Carter
Department: WATER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-486-7618
Scheduled D�te: 2017-0 21 Scbedeled 11me: 08:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-06-20
AG7ION TAI�N:
Status: In Progress Submitter Has Been r,
Co�acted
Date Completed: Completed by:
Honrs
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City o#Fridtey � �� � ����� v ' ��
Water Department �� .�L ���.,1 r)
6431 University Avenue NE �r �
Fridley,MN 55432
763-572-3566
1/we��'����(,�Q�� hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liabte for the water line from the main to the premise and all i�rterior
plumbing. (Per City code 402.A6) 1 also hold the City of Fridiey and/its employees harmless for arry damages that may occur while doing this
operation. This to indude,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand t am also required
to obtain a permit prior to any work,if necessary.
',�-�'., FtNAI.MECER RE�►D[MG(otd meter} i / 1�/tU �vv
Name•_ ���,1� � ���,
� Addres� �/ �
Phon-e lYumber �l��""G Ol9`�ll?k0 pate ��( )7
Signature Witness Sigr�ature
OlD METER# d� ���C� . .� �� ��'`��
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- OLD READING I'� � ��C� "
NEWMETER# _ ����i�y �a,
NEW READING O .
ERT# 11 la���D
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FRIDLEY CITY CODE
CHAPTER Q.02.WATER,STORM WATER AND SANITARY SEWER
ADMtNISTRAT{ON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer iine connecting the existing municipai system and any house ar buiiding for which the
application is made,the owner vr contractor shall be required to obtain a permit for such connection.and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to cover
any connecting tine until an inspection has been made and sucb connection and the work incident thereto has been approred by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTEPIANCE TO COPINECT{OfY
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the property line or a urater servi�e lead has
been extended to the property line for co��ectio�,the applicartt,owner,or occuparrt or user of such premises shalt be tiable fior ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be performed by the City,the propercy owner shall be charged for the costs of the maiMenance and/or
repairs.including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responstbility of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to fihe main including debris dearing or
roo#cutting and to mairrtain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)
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