Meter Swap ,
, Request Number: 15108
Public Works Division
Service Request
Problem Address: 4631 2nd St Requested By: Neil O.
Department: WA'IER Addreas: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 701-640-0120
Scheduled Date: 2017-OS-16 Scheduled'Rme: 01:00:00
�— 7"Z
ACIION NEEDED: �
Created by: Beth Kondrick D�te Created: 2017-OS-02
ACTION TAI�N:
___........._����I�............_.�_�.��. .___ ._ __.�__.__ . _.._.__
Status: In Progress Sabmitter H�s Been �
Contacted
Date Completed: Completed by:
Hours / ��
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b� �
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~ City of Fridley
Water Department i � � � I�2
6431 University Avenue NE �—�
�/
Fridfey,MN 55432
763-572-3566
�/We hereby authori:e the Uty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all ir�teerior
pfumbing. (Per City code 402.06) I also hold the City of Fridley and/tts employees ha�mless for any damages that may ocar while doing this
operation. This to include,but not limited to valves,piping,walis,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(oid meter) ��� ���
Name• _ ��� ��/ Address�1(.1 C�� � ��
Phone Number�O�� �J�'{.l ) �V�te�'� 1� � 1,�
Signature Witness Signature
OLD METER# ������ ��
OLD READING ` � i ��O
NEW METER# ���� ���
NEW READING �
ERT# � � v 4 �� �`'�
FRlDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION
(Ref Ord No 113,464,565,566,629,638,652,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house o�building for which the
appliwtion is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of tfiis Code. After such connection has been made,the Water and Sewer Department shall be not(fied. It shaN be unlawful to cover
any con�ecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the�ty as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initlal connection has been made to the water servtce curb stop box or the sewer lead at the property line or a water servke 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 lines necessary for connection aF the premises from the main to the premises. ff the property owner
requests maintenance senrice or repairs be performed by the Ctty,the property owner shall be charged for the costs af the mairitenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the respoasibility of the applicaM,
owner,occupant or user to perform standarc!maintenance of the sewer service line from the premises to the main including deb�is clea�ing 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)