Meter Swap Request Number: 8182
� Public Works Division
Service Request
Problem Address: 481 67th Ave NE Requested By: Marilyn Boe
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-571-7436
Scheduled Date: 201406-24 Scheduled Time: 1
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ACTION NEEDED: InstallAMR
Created by: Julie Horak Date Created: 201406-23
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by
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� - City of Fridley
..- Water Department - -_
6431 University Avenue NE
Fridley,MN 5543Z
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liable for the water tine from the main to the premise and all interior plumbing. (Per�ty code
402.06) (aiso hold the City of Fridley and/its employees harmless for any damages that may occur
white doing this operation. This ta include,but not limited to;valves,piping,walis,floors or the curb
stop box and service(ine. I understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(o!d meter) � � �� v
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Name• Address: ,_._.� " l�� � ,
. ; ���y- �y-
Phone Number• Date:
Signature•
Witness Signature:
FRIDLEY ClTY CODE
CHAPTER 4U2,WA'TER,STORM WATER,AND SANITARY SEWER
ADMlNISTRA710N
(Ref Ord No Z13,464,565,566,629,638,662,922,988,1144,1256,1191)
402.p5.PERMIT FEE
Prior to construeting or repair of any water or sewer line connecting the existing municfpal system and any house
or building for which the apptication is made,the owner or contrador shall he required to obtain a permit for such ,
connection,and shatl pay a permit fee as provided in Chapter 11 oithis Code. After such connection has been
made,the Water and Sewer Department shalf be notified. It shal!be unlawfu(to cover any connecting line untii an
inspection has been made and such connection and the work!�►cident thereto has been approved by the City as a
proper and suitabte connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION �
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After the initial connection has been made to the water serv�ce curb stop box or the sewer Isad at the praperly /I!I
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 fur all repairs required to any water line and sewer lines �
necessary for connection of the premises from the main to the premises. if the propetty owner requests ' �
maintenance service or repairs be performed by the Ciry,the property owner shaii be charged for the costs af the � �
mainfienance and/or repairs, inciuding any necessary street repairs,at a rate set annualiy by an administrative , !
po(icy. It shali be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of �
� the sewer service line from the premises to the main inciuding debris clearing or root cutting and to maintain the �
water service curb stop box for operability and at such height as wiil ensure that it remains above the finished k1
grade of the land ar property. (Ref 638,1156,1191)
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