Meter Swap Request Number: 12542
• Pnblic works Division
Service Request
Problem Address: 7546 Tempo Ten Reqnested By: Ms Hancsen
Departmeut: WATER Address: No a�ress provided
Problem/Iaaue: INSTALL AMR ME1ER Phane Number: ?63-784-7935
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5c��ded DAte: 2017-01-OS Sc�edaled 1Ime: 02:00:00
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ACIION NEEDED:AMR
Created by: Wendy Hiatt Dste Cre�ed: 2016-12 21 '
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ACPION TAKEN:
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Cout�cted
Date Completed: '�--- � — �� Completed by:
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City of Fridley � O I (',2 �
Water Department �6 J
6431 University Avenue NE
Fridley,MN 55432 � �j �')�' �������
,. 763-572-3566
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I/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 liabfe for the water line from the main to the premise and all i�terior
piumbing. (Per City code 402.06) I atso hold the City of Pridley and/its employees harmless for any damages that may occur while doing this
operation. This to inctude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obiain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��'"� V� �
Name:�� �S i-f.-�. Address �J - V� �� ���'��
Phone Number ���— ��� ^� 1 J� pate �� �~ �' (
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�5ignature ���C�-�1 � Witness Signature �,�Q'17
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OLD METf R# +^' �� � g1�,� �
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OLD READiNG �� �O �� �� 7
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IVEW METER# �'�'I�� L �� J � ,
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NEW READING � `
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F�ttDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,624,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system any house or building for which the
application is made,the owner or wMractor shaii be required to obtain a permtt for such connect� ��*� ,.:�,it fee as provided in•
Chapter 11 of this Code. After such connect4on fias been made,the Water and Sewer DepartmeM ���'�t��,�. -_''.�s� > . �o cover
any connecting line untii an inspection has been made and such connect'son and the work incident _ -�;�-gx. . n�as a
proper and suitable connection. • ` '
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402.06 REPAIRS AND MAINTENANCE TO CONNECTION ' y"�
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After the initial connection has been made to the water service curb stop box or the sewer lead a����� -:�_yllead has
been extended to the property line for wnnection,the applicant,owner,or occupa�or usec a.=`��'�.r,�,:,�.,�.�f_: `l-�'�?' pairs
required to any water line and sewer lines necessary for connection of the premises from the tt�!'dm��� � 7 nuner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs v.:�� . ince and/or
repairs,irnludin�necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility of the ap�qnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dea�ing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remaim above the finished
grade of the land or property. (Ref 638,1156,1191)
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