Meter Swap h
t � Request Number: 15301
Public Works Division
Service Request
Problem Address: 4608 2�d St Requested By: Mr I.epsch
Departme�: WA'IER Aaddress: No address provi�d
Problem/Iss�: 1NSTALL AMR METER Phone Nua�ber: 763-25A-0538
Seded�led Datt: 2017-OS- 6 � Schednled 1lme: 08:30:00
J�.�J
ACIION NEEDED:
Cres�tei�y: Wendy Hiatt Date Creatad: 2U1�-OS-12
ACTIOAI TAI�N:�' ���
1����..
Statua: In Progi�ess Sabmitter Iia�Bean r,
CoMacted
Date Campleted: Completed by:
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C�ty of Fridley
Water Departrnent
6431 University Avenue NE
Fridley, MN 55432 � � I �-�[`� /_���/'��
763-572-3566 7 � v
�/We hereby autho�ize the City 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
piumbing. (Per C'ity code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaar while doing this
operatiort. This to include,t�ut not limited to valves,piping,walis,floors or the curb stop box and senrice lirre. In under�stand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READI G(old meter) �� 1 O ��o
Name: �i aJIJC ` Address `--�tOV I� � � .
Phone Number��✓J v�^D�3�ate��6�— y�
Signature_ _ Witness Signature
OLD METER# � JZ� �6� �
OLD READING � ��� �V
NEW METER# � ��O� � f/�
NEW READING �
ERT# � ��� ����
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 of sewer line connecting the existing municipal 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 shall pay a permit fee�provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. ft shall be unlawful to cover
any connecting line until an inspectio�has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
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 property line or a water service lead 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 tines 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 shali be charged for the�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 appltcant,
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 aod at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)