Meter Swap Request Number: 8206
Public Works Division
Service Request
Problem Address: 489 Rice Creek Terr Requested By: Timothy Prairie
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 763-572-2366
Scheduled Date: 201406-26 Scheduled Time: 09:00:00
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ACTIQN NEEDED: InstaN AMR
Created by: Julie I-brak Date Created: 2014-06-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed :
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- City of Fridfey
. _-- Water Department _- -- -
6431 University Avenue NE
F�idley,MN 55432
(763)57Z-3566
I/we hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liable#or the water line from the main to the premise and ali interior plumbing. {Per Gty code
402.06) i also hoid the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. Th1s to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand i am also required to obtafn a permit prior to any work,if
necessary.
Finaf ineter reading(old meter) �� �� `� v "
Name• Addsess• �(, U� �Ff� ��� �"L✓�
Phone Number: Date: lY��~ ��
Signature: � l—J.�---
Witness Signature•
FRIDLEY GTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,56fi,629,638,662�922,988,1144,�1156,1191)
402.05. PERMI7'FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connectian,and shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shati be notifed. It shall be unlawful to co�er 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
praper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service cu�b 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,
ar the occupant or user of such premises shafl be tiabfe for alt repairs required to any water line and sewer lines
s►ecessary for connection of the premises from tfie main to the premises. 1f the prop�[ty owner requests
maintenance service or repairs be performed by the City,the property awaer shal!be charged for the cnsts of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responslbility of the applicant,owner,occupant or user to perform standard maintenance of
° the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)