Meter Swap Request Number: 9819
Public Works Division
Service Request
Problem Address: 501 Ely St Requested By: Pam Allen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-350-7476
Scheduled Date: 2 15-03-06 SchedWed'Iime: 01:00:00
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ACTION NEEDED: Stopped meter.Install AMR
Created by: Wendy Hiatt Date Created: 2015-03-02
ACTION TAI�N:
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Status: In Progress Resident Contacted ["'
Date Completed: Completed by: �
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• - City of Fridley
- - , Watar Department
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6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby autharize the tity af Fridley and/or its
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 Ciry code
402.Q6) I.alsa hold the City of Fridley and/its employees harmlessfor any damages tnai may occur
while doing this operation. This to includef but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand I am also required to ahtain a permit prior#o any work,if
necessary.
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Final meter reading(old meter�
Name: Address:
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Phone Nu Date: � �� �
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Signature• ��"
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Witness 5igr�ture;
FRIDLEY CITY CODE
CHAPTER 402.WATER,STdRM WATER,AND SAN(TARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565;566,629,638,662,9Z2,988,1144,1156,1191)
4UZ.05.PERMIT FEE
Prior to canstructing or repair of any water or sewer line connectingthe existing municipal system and any house
ar building for which the application is made,the owner or contrector shall be required to obtafn 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 1lUater and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has heen approved by the City as a
properand suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�#��b��p���n��Jla� ---'-�^the water service curh stop hox or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the prop�rty line for connection,the applicant,owner,
or the occupant nr user af such premises shall be liable for al(�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 requesu
maintenance service dr repairs he performed by the City,the property owner shall be�harged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shal{6e the responsi6ility of the applicant,owner,occupant or user to perfarm standard maintenance of
• the sewer service line from the premises to the main including de6ris clearing or raot cutting and to maintain the
water service curb stop box for operability and at such height as will ensur�that it remains above the finished
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grade oft�7�lard ar-�ro�ct3y. jREi 63o,i1�•�- _ . _. - -__ -. _