Meter Swap , � Request Number: 12771
Pablic works Division
Service Request
Problem Address: 7421 Tempo Terr Requested By: Monique Chellis
Departme�: WA1ER Addrea�: No address provided
Pro�em/Isaue: INSTALL AMR METER Phone Nnatber: 763-780-12Z3
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Scbednled Date: 2017-0 I-I 2 Scliedated 1Ime: 09:00:00 i
ACIION NEEDED: ' ' `'�` �J G� Y� � v T_ \ G't
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Created by: Wendy Hiatt Dtte Cre�ede 201�-O 1-09
AC1iON T.4I�N:
Statps: In Progress Sabmitter H�Beea r,
Coatacted
Dste Cam�eted: Coa�pleted by:
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City of Fridley � � �+) �
Water Department � � � �6
6431 University Avenue NE 5�ti�5� �-{
_ Fridley, MN 55432 � �� '
, 763-572-3566
�/We hereby authorize the City of Pridley and/or its employees to da what is necessary to
replace the water meter. I understand that the property owner is liabfe 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 Fridfey andJits empioyees harmless for any damages that may occur while doing this
operation. This to include,but not lis►�ited to valves,piping,wafls,floors or the curb stop box and service line. In understand i am also required
ta obtain a permit prior to any wock,if necessary.
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FIlVAL ME7ER READING(ofd meoter)
C'�bY�,0 V��.. �il�lZ,��;� � L` 4,�,, �,
Name• Address � 1��� ��r'` �Q �
Phone Number ,Y -��� �v"� Date `' 1�+ ��
� Signature -......_.. Wttness Signature --_
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OLD METER# � � � �
OLD READ[NG�i�j� t � O
NEW METER# � ` Y' � ��� YJ
NEW READING__ V
ERT# ��CJ � O � � V
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT PEE
Prior to constructing or repair of any water of sewer line connecting the existing municTpal system and any house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permitfee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shail be notified. [t shail be unlawfu{to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approred by tfie City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial coanedion 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 applicant,owner,or occupant or user af such premises shall be liabie for all repairs
required to any waCer ti�e and sewer lines necessary for connettion of the premises from the main to the premises. ff the properly owner
requests mairrtenance service or repairs be performed by the City,the property owner shaii be charged for the costs of the maintenance and/or
repairs,inc{uding neceuary street repairs at a rate set annuaNy by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includiog debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or p�operty. (Ref 638,1156,1191)