Meter Swap Request Number: 10072
Public Works Division
Service Request
Problem Address: 5271 Fillmore St Requested By: Stephanie Repke
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-275-3244
Scheduled Date: ^ 20��5-13 ` � �Scheduled Time: 02:30:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2015-OS-12
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ACTION TAI�N:
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Status: In Progress Resident Contacted C
Date Completed: Completed by:
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- City of Fridley
- , ., Wat?r Department
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6431 University Avenue NE
Fridley,MN 55432
(7fi3)572-356fi
` �( ��_G �hefeby autharize the tity of Fridley andJor its
I/we `
employees to do what is necessary to replace the water meter. I 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 alsa hold the City of Fridley and/it�employees harmlQssfvr any amages a may occur
while doing this operadon. This to include,but not limited to;vatves,piping,walls,floors or the curb
stop box and service line. I understand I am also required to ohtaln a permit ptior to any work,if
necessary.
Final meter reading(old meter)
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Name: " J C 1 Address:�vZ-
Phone Numbe �`x,R�� ' ` `� ate� � � � � ~
� ignatur �
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 4�2.WATER,STORM WATER,AND SANITARY SEWER
�4DMINISTRATICIN
(Ref Ord No 113,464,565;566,629,638,662,922,988,1144,1156,1191)
40Z.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connectingthe existing municipal system and any house
or 6uilding for which the application is made,the owner or contractor 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 connection has been
made,the 111fater and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such conne�Cion and the work incident thereto has heen approved by the City as a
proper and suita6le connectian.
402.06.REPAIRS AND MAINTENANCE TO CONNECTIl1N
.�#�,�b�ia���nartinn hasb ---��+"the water service cur6 stop box orthe sewer lead atthe propert�
line or a water service or sewer lead has been extended to the property line for cannection,the appl�cant,owner,
or the occupant or user of such premises shall be liabie far ail�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope�ty owner requests
maintenance senrite or repairs 6e performed by the City,the properry owner shall be charged for the costs of the
. maintenance and/ar repairs, including any ne�essary street repairs,at a rate set annually by an administrative
policy. It shall be the responsi6ility of the applicant�awner,occupant or user to perform 5tandard maintenance of
• the sewer service line from the premises to the main including dehris clearing flr root cutting and to maintain the
water service cur6 stop box for operability and at such height as will ensure that it remains above the finished
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