Meter Swap ' Request Number: 12934
.
Public works Division
Service Req�st
Problem Addresa: 7549 Tempo Terr Requested By: Molly McLellan ,�;y� .
Departmeat: WA'IER Addresa: No address providcd ,�.. �
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Problem/Issm: INSTALL AMR METER Phone Number: 1-850-624-3297
Sclkdnled Date: 2017-01-19 Schedaled Tine: 11:30:00
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ACIION NEEUED:
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Cres�ted . W Hiatt D�te Creatsd: 2017-01-18 d��._ `f�
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Status: In Progress Sabmitter IIsts Beea r,
CoMactcd
Date Compfeted: Completed by:
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6431 tlniversit�Aver�ue 6Yf �,� (,�c� —� '''"
Fridley,MN 55432 .�(�'.� .
763-572-356 ! �
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1/we hereby authorize#he�'rty af Fridfey andJor its empioyees to do what is�ecessary to
� replace#he water meter. 1 understand that the property owner�s liable for the water line from the main to the premise and all irrterior
plurrebing. (Per City sode 4fl2.06} i aiso hold the�ty of Fridley and/its emptoyees harmless for any damages that may occur while doing tf�is
operation. This to�ncfude,but not limited to valves,piping,wails,floors or the curh stoQ box and servtce tine. tn uaderstand 1 am also require�
to obtain a perm'rt prior to any�ror4c,if necessary.
FlNAL ME R READING(old meter) � ��� ��C
111ame: �I ` � � V �
Ad�rcss
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Phone Number p�
Signature W�tness Signature_-
OLD METER#����� ��
OLD READIAiG � (,�� ���(�
NEWMETER#_ V��`����
NEW READIIVG �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADNIINIS'i'RATION
(REf OPd MO 113r 464�565j 566r 629�635�662,922�98$�1144�1156�1191}
402.5 PERMiT fEE
Prior to constructing ar repair of any water of sewer line connecting the existing municipai system and arry house or building for which the
app4ication is made,the owner or corrtractor shail be required to obtain a permit for such connection,and shall pay a permit fee as pmvPded in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shafl be uniaw�ul to c�aer
any con�eding line until an irrspection 6as been anade and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAiRS AND MAINTENANCE T�COMNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the pro}aerty tiae or a water service iead has
been extended#o the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie for all repairs
required to any water line and sewer lines eecessary for connedion of the premises from the main to the premises. if the property owner
requests mai�tenance service or repairs be perFormed by the City,the properl,y owner shail be charged for the costs of the mai�rtenance and/os
repairs,inciuding necessary street repairs at a rate set annually!ry an adminis#rative policy. It shali be the responsibility of the applicarrt,
owner,�nccuparrt or user to perform standard mairrtenancs of the sewer service line from the premises to the main including debris deari�g or
root zutting and to mainfiain the water service curb stop box for operability and at such height as wi(i ensure that it remairu ahove the fiaished
grade of xhe land or property. (Ref 638,1156,1191)