Meter Swap .
� Request Number: 12912
Public works Division
Service Request
Problem Address: 7507 University A� Requested Bys F.mil Lorenz
Depnrtment: WA'IER ,,��.eSs: 7507 Um�rsity A�e
Fridley,MN 55432
Problem/Issue: INSTAL,L AMR ME1ER Phone Number: '763-786-9762
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Se6eduled Date: 2017-01- 0 � Sc6edaled 11me: 09:OO:QO .
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AG"IION NEEDED:Install AMR
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Created by: Beth Ko�drick D�te Cre�ed: 201�-01-17
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ACTION TAi�N: � ;° '`�'� `��:
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Status: In Progress Sn�itter Hae Bee� �,.,
Co�ted
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Date Completed: ,"—�V �� Completed by:
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6431 Univers'stg/Avenue P{E
�ridley,MN 55432 ���J JS`���--�t�'� t
. 753-572-3566
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��We— hereby authorize the City ot'Pridiey and/or its esnployees to do what is aecessary ta
repiace the water meter. !understand that�he property owner is liable for the water line from the main to the premise and all iriterior
plumbing. (Per Crty code 402.06) 1 aiso hold the City of Fridley and/its employees harmless#or any damages that may occur while doing this
operation. This to inciude,but not limited to vafves,piping,wails,floors ar the curb stop box and service line. In understand I am also required
to obtain a permit prior to any wo�{c,if necessary.
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FINAL METER READING(old meter)__
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M~ Name• ��"<<� �bt^^Q.N��Z Address �h� � (,il hf�-Y�V� �jle,
Phone Number��3` G�`-(,7�'�–' p� 1— G-C/ �`�
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Signature Witness Signature
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OLD METER# �5�3 � ���/
OLD READtNG �J�� ! �O
NEWMETER# �� � I � � �L�
NEW READING �
ERT# � C/�� ��� [ .
FRIDLEY CITY CODE
CHAPTER 4fl2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord NO 113�46$�565,566s 629�638�662�922�988�1144�1156�1191�
402.5 PERMI'T FEE
Prior to constnacting or repair af any water of sewer line connecting the existing munic�pal system and arry house or building for which the
application is made,the ow�er or contractor shal!be required to abtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department sfiali be noTified. tt shafl be unlawfvi to cover
any connecting line untii an inspection has been made and such connedion and the waric iriciderrt thereto has been approved by the C'cty as a
proper and suifiable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC170N
After the initlal connect"son has been made to the water service curb stop box or the sewer lead at the pnoperty�ine or a water service iead t�as
been extended to the property line for connection,the app{icam,owner,or accupant or user of such premises shall be IiaWe for all repairs
required to any water line and sewer li�es necessary far connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the C'Ry,the property awner shail be charged for the costs af the maimenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative polfcy, It shal4 be the responsibil'rty of the appfi�rrt,
owner,occuparn or user to perform standard mairrtenence of the sewer service line from the premises to the main iacluding debris clearing or
root cutting and ta mairrtain the water service curb stop box for operability and at such height as wiii ensure that it remains above the flnished
grade af the tand or property. (Ref 638,1156,1191)