Meter Swap �E�
`� Request Number: 12666
Public works Division
Service Request
Problem Address: 7542 Te�o Terr Requested By: Ms Bodine
' Departme�: WA'IIIt Addres:: No address provided , .
Problem/tssue: INSTALL AMR METER Phone Nnmber: 612-T08-4472 4 '�%'^'�
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Se�eduledDat • 016-12- i Schednied'llme: 07:30:00
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ACTIUN NEEDED:
CreAted by: Wendy Hiatt Dste Cre�ed: 2016-12-30
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ACTION TAKEN: "`f._- "� ''
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Status: In Progress 5ubmitter Has Been r
CoMacted
Date Com�eted: � � � � f�-, Completed by:
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City of Fridley
Water Department
r` 6431 University Avenue NE •2�� ��� 5�--IS�c���
' Fridley,MN 55432
763-572-3566 5� �s�a3
�/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 liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the C'ity of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
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FINAL METE DING(old meter)
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[ � { Address / .3 � � �����C'� ����'
Name: f � ..� C. a 1�
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Phone Numbe� ^� `"� /�i�" _ l �,.?-- Date ,l �� F.7 { � ( `-Y
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:� Signature Witness Signature --____....__--
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OLD METER# ���" � � ��
OLD READING ` ����U �
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NEW METER#• �� � � �� � � �
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NEW READiNG '
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN ISTRATION
(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 any water of sewer line conneding the ezisting municipal system and arry house o�buiWlr�for whkh the
application is made,the owner or coritractor shall be required to obtain a permit for such connectioo,and shall pay a permit fee�provided iR
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be not�ed. R shall be unta�wful to cover
any connecting line until an inspection has been made and such connedion and the work inaderK thereto has bee�approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer fead at the property Itne or a water service lead has
bee�extended to the property line for connection,the appiicarrt,owner,or occupant or user of wch prcmises shail be lisble for all repa�s
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 mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including�ecessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including 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 property. (Ref 638,1156,1191)