Meter Swap Request Number: 8380
Public Works Division
Service Request
Probiem Address: 620-67th Ave NE Requested By: Sarah Jiech
Department: WAIER Address: No address provided
Problemlissue: INSTALLAMR METER Phone Number: 763-52&3943
Scheduled Date: 2014-07-1 C� !S.cheduled Time: 08:30:00
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ACTION NEEDED: InstallAMR
Created by: Cheryl Pettegrin Date Created: 2014-07-09
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete by:
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- City of Fridley
... __. Water Department . .... _.. -
6431 University Avenue NE- _
fridiey,MN 55432
(763)572-3566
f/we hereby authorixe the�ty of Fridiey andior tts
employees to do what is necessacy to ceplace the wates meter. I understand that the property owner
is liable for the water iine from the main to the premise and ali interior piumbtng. (Per f,�ty code
40t.06) I a{so ho{d the�ty af Fridley andii�employees fiarmless for aey damages that may occur
while daing this aperation. This to irulude,6ut not timited to;valves►piping,walis,floors or d�e curb
stop box and service line. i understand 1 am also required to o6tain a permit pNor to any work,if
necessary.
Finai meter reading(ofd meter) � `�� ` "��
Address' ln�� `�� ��
Name• •
Phone Number: Date: ��`�✓��
Signature• � �
Witness Signature•
FRIDI.EY CITY CODE
CHAP7ER 402.WATER,STORM WATER,AND SANITARY SEINER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
�4U2.05.PERMIT FEE
Prior to constructing or repair of any water or sewer tine connecting the existing municipai system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shail pay a permit fee as provided in Chapter 11 of this Code. Afte�such connecCion has been
made,the Water and Sewer Department shatl be notified. It shaii be unlawful to cover any rnnnecting line until an
inspection has been made and such connection and the work incident tfiereto has been approved by the City as a
praper and suitabte cannection.
402.06.EtEPAtItS AND MAINTENANCE TO CONNECi'IQN
After ttre initiaf connection has been made to the water service curb stop box or the sewer lead at the property
(ine or a wate�service or sewer lead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of sucfi premises shalf be liabfe for all iepairs required to any water line and sewer fines
necessary fnr connection af the premises from the main to the premises. If the prop�[ty owner requests
maintenance service or repairs be performed by the Gty,the pruperty owner shatl be chatged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. it shall be the responsi6ility of the applicant,owner,occupant or user to pe�farm standard maintenance of
• the sewer service line from the premises to the main including debris cleartng or root wtting and to maintain the
water service curb stop box for operability and at such height as will ensure that iC remains above the finished
grade of the tand or property. (Ref 638,1155,1191)