Meter Swap �
Request Number: 8107
Public Works Division
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Problem A�ddress: 506 Rice Creek Terr Requested By: Shannon Wright
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-5747340
Scheduled Date: 01406-18 Scheduled Time: 08:30:00
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ACTION NEEDED: InstaN AMR meter
Created by: Julie Horak Date Created: 201406-16
ACTION TAKEN:
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Status: In Prog�ess Resident Contacted ❑
Date Completed: Completed by:
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' - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We fiereby autfiorize the City of Frid{ey and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liabie fvr the water line from the main to the premise and al{interior plumbing. (Per City code
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 not timited to;valves,piping,wa{Is,floors or tfie curb
stop box and service line. i understand i am also required to obtain a permit prior to any work,if
necessary.
fina{meter reading(otd meter) � �� � � ` O
Name: Address: ��9 �iG(� �'�c-1e. �-(.+'f-
Phone Num r _ _ Date• l�V�U� � /
Signature•
Witness Signature:
FRIDLEY CI'i'Y CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATfUN
(Ref Ord No 113,464,565,566,629, 638,662,922,985, 1144, 1156, 1191)
�402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or cantractor shall be required to obtain a permit for such
connection,and shali 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
p�oper and suitable connection.
402.06.REPAIRS AND MAIN7'ENANCE TO CONNE4TiON
Aft�r the initiat 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 shal{be tiable 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 shall be charged for the costs of the
maintenance andior repairs, including any necessary street repairs,at a rate set annualfy by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perForm standard maintenance of
4 the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as witl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)