Meter Swap Request Number: 16235
Public Works Division
Service Request
Problem Address: 6012 2nd St Requested By: Ellen Smith
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-205-4456
Scheduled Date: 2017-07-06 Scheduled TYme: 11:30:00
Ju -
ACTTON NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-OS
A ON T N:
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by:
Hours �
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� City of Fridley
Water Departrnent c C � �-�'�����
6431 University Avenue NE J
Fridley,MN 55432
763-5723566
��We hereby authorize the Cifij of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley andrts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) r,-J V� F `�J
Name:� )� �r(`(�(� Address �� � � `
Phone Number� �'������� p���" �p�" �,�
Signature �tness Signature � �.�
OLD METER# ��"', '� _ 1 � )` I Q�'T-P/Y /'� d`T � ,
5�,0��✓ I �
OLD READING_V✓ �� _ `�lJ
NEW METER# `y- 1�� �, '� 1�
NEW READING `/
ERT# � �� I ��3
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AIVD 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 arry water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or coritractor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shal(be notified. It shall be enlaMrful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Clty as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the pro�rty line or a water service lead has
been extended to the property line for connectton,the applicant,owner,or occuparrt or user of such premises shall be liable for ali 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 property owner shall be charged for the aosts of the mairrtenance 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 senrice line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains akNve the finished
grade of the land or property. (Ref 638,1156,1191)