Meter Swap � Re uest Number: 15237
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Public works Division
Service Request
Problem Address: 6031 2nd St Requested By: Tamara Paul
Department: WATER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-226-6585
Scheduled Date: 201?-05-15 Schedtile�'lSme: 02:00:00
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ACTiON NEEDED:
Crcated by: Wendy Hiatt Date Created: 2017-OS-09
ACTION TAI�N:
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Status: In Progress Submitter Has Been �
Cont�ted
Date Completed: Completed by:
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.� City of Fridley ( f,
Water Department � U
6431 University Avenue NE ��� � �� �
Fridley,MN 55432
763-572-3566
�/We hereby authorize the C"ity of Fridley and/or its empfoyees to do what is necessary to
repiace the water meter. I understand that the properly owner is liable for the water line from the main to the premise and a!!irrterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and servtce line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � `�� �� �
Name� � 1 l Address ✓'�`�' ��
Phone Number � � ate ,1 �'�� Y�
Signature Witness Signature
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OLD METER# � �
OLD READING �` � 1 � "' Sn4r�l�� '` ��'� ��'��� c0 ' `
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NEW METER# '" !. � tV G V�J
NEW READING �
ERT# � � w�" �O L-� .�
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)
402.5 PERMIT FEE
Prior to constructing or repair of any water af sewer t�ne connecting the existing municipat system and any house or butidi�for which the
application is made,the owrter or contractor shali be required to obtairt a permit for such connectian,and shai!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 REPAtRS AN�MAINTENANCE TO CONNECi10N
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property li�e or a water senrice tead has
been extended to the property line for connection,the applicant,owner,or 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. ff the property owner
requests maintenance service or repairs be perFormed by the City,the properly owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall 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 including debris clearir►g or
root cutting and to maintain the water service carb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191J