Meter Swap .
� Request Number: 12773
Public works Division
Service Request
Problem Address: 7391 Tempo Terr Requested By: Nina A�erson
Department: WATER Address: No address provided
ProMemJIssue: INSTALL AMIt METER Phone Number: 783-8979
Se�edutedDate: 2017-01-1 � Se6edaie�ljme: 11:00:00
Q c�- /
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-09
ACTION TAKEN:
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D:te Compieted: Completed by: ; j
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City of Fridley C p � C( �
Water Department J �
, 6431 University.Avenue NE
Fridley,MPI 55432 �� �' -S �'�1 ��`��
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do wfiat 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 atl interior
p{umbing. (Per City code 402.06) 1 atso hold the City of F�idley and/its employees harmless for any damages that may occur while doing this
operation, This to include,but not limited to valves,piping,walis,fioors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READiN6(old meter) ���� �� �
Name: 1 V ��1� �{Vl���� Address �� 1 � 1�1�' �Y V 1 �L/��
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Phone Number�(� "� ,� �Date t"� � � � f�
Signature Witness 5ignature l lt �-----r-""'"'�
OLD METER# t ��� �Z� �
OLD READtNG ���� 2� O
NEW METER# ` f i�����
NEW READiNG ��, `
ERT# �� � � � �
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FRiDLEY CITY CODE
CHAPTER 402.WATER,S�'OitNl WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE �
Prior to wnstn,�cting or repair of any water of s�rer line wnnecting the existing munk�pal system and any house or buiid'+ng for which the
application is made,the owner or contiractor 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 connedion has been made,the Water and Sewer Departmer�t shafl be notified. It shall be unlawful to crower
any co�necting line until an inspection has been made and such connection and the work incidertt thereto has been approved by the City as a
proper and suitable connedian.
402.06 REPAIRS AND MAfTiTEfYANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property iine or a water service lead has
been extended to the property fine for wnnection,the appiicant,owner,or accupant os user of wch premises shall be liabie for ai)repairs
required to any water line and sevoler lines necessary for connection of the premises from the maln to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shalf be charged for the costs of the maintenance andfor
repairs,inc{uding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or use�to perform standard maintenance of the sewer service line from the premises ta the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of tfie land or property. (Ref 638,1156,1191)