Meter Swap Request fc�r Ser� Rep�a�r�t
�ity of Fndl�y
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Re�quest Tppe� Sewer hack-i�p chedc�►�ain 6rter�d f�y: W�dy F��t
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Aci�ess: 44Q S3TH AVE NE a�€�trcme: 763-�02-7�
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Request Number: 8064
Public Works Division
Service Request
Problem Address: 440-67th Ave NE Requested By: Daniel&Carole Peck
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR MElER Phone Number: home only 763-502-7888
Scheduled Date: 201406-17 Scheduled Time: 10:00:00
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ACTION NEEDED: Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-06-11
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Comp ted by:
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City of Fridley
- Water Department _. .
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
���ye hereby authorize the City of Fridley and/or its
empioyees to do what is necessary to replace the water meter. i understand that the property owner
is liabie for the water line from the main to the premise and all interior plumbing. (Per City wde
402.06� i also hold the City of Fridiey and/its employees harmless for any damages that may occur
while doing this operation. This to inciude,but nat limited to;vaives,piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. . ZO�L' ��o
Finai meter read�ng(old mete�)
Name•
Address: `� �7�r'8f'L
Phone Number ate. -
,
Signature•
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
402.05. PERMIT FEE
Prio�to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or buildingfor which the appiication is made,the owner or contractor shall be required to obtain a permit for such
connecCion,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 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 been 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 service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs 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 service or repairs be performed by the City,the property owner shail be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualiy by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant ar user to perform standard maintenance of
° the sewer service line from the premises to the main inctuding deb�is clearing o�root cutting and to maintain the
water service curb stop box fior operability and at such height as wilf ensure that it remains above the finished
grade of the land o�property. (Ref 638,1156,1191j