Meter Swap - Request Number: 12214
Public works Division
Service Request
Problem Address: 5547 E Bavarian Pass Requested By: Sandy Johnson
Department: WATER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 612-220-7174
Scheduled Date: 2016-11-17 Schedul ed 1lme: 08:00:00
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ACTION NEEDED:AMIi
Created by: Wendy Histt Date Created: 2016-11-14
ACTTON TAI�N:
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Hiatt, Wendy
Subject: SANDY JOHNSON, PH#612-220-7174, AMR INSTALL
Location: 5547 E BAVARIAN PASS NE
Start: Thu 11/17J2016 8:00 AM
End: Thu 11117/2016 8:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Johnson, Susan E.
Required Attendees: Hiatt, Wendy
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, City of Fridley
Water Department
' 6431 University Avenue NE
Fridley, MN 55432
763-572-3566 �
1/we hereby authorize the City of Fridley andjbr 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
piumbing. (Per City code 402.06) 1 aiso hofd the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. fn understand 1 am alsa required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � " ��-✓" ``�� � ���`'�� ���"`� '� "
Name: Address '�'� ` ` �L '✓�'��� �'�
Phone Num r Date � ��� ��� ��
Signature Witness Signature
OLD METER# �
3y � �3�� -�3 �����1
OLD READlNG i � v�� J� � -'"�� ���
NEWMETER# �7 ! ` VC� �� �-�_Z� � `j� t �
NEW READING � �
ERT# V V� ! �1F�� l tO��t 1 �� V�
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMfNISTRATlON
(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 connecting the existing municipal system and any house or buitding for which the
app{icatio�is made,the owner or contrador shall be required to obtain a permit for such con�ection,and shall pay a permit fee as p�ovided in
Chapter 11 of tfiis Code. After such connection has been made,the Water and Sewer Departmerrt shail be noti�ed. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNERION
After the initial connection 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 of such premises shail be liable for alt repairs
required to any water line and sewer lines necessary for connection of tfie premises from the main to the premises. ff the property ow�er
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and(or
repairs.inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibii'ity of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main incfuding debris clearing or
root cutting and to maintain the water service curb stop box for operabitity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1141)