Meter Swap " Request Number: 15270
Public Works Division
Service Req�st
Problem Address: 4741 2nd St Requested By: Vincent Anderson
Departme�t: WA1ER Address: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-ST2-8936
SchedWed Date: 2017-OS-11 5chednled 1ime: 11:30:00
� 1
.
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 201'1-OS-10
ACTION TAI�N•
.Y_.Y_�`�J..`�"�.._1�______�__'` ,.._... � .�.�...__ _.________�__.__.____...._._.________._
Status: Tn Progress Snbmitter Has Been �..
Contacted
Date Completed: Completcd by:
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City of Fridley �� l ' � I
" Water Department � �
6431 University Avenue NE C D
Fridley,MN 55432 J
763-57Z-3566
�/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owne�is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of F�idley and/its employees harmless for any damages that may oaur while doing this
operetion. This to indude,but�ot limited to valves,piping,waffs,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��� ��
Mame• � Address � Y�� ��'� �
Phone Number������r c/ ate _� �� � l�
Signature WFtness Signature �e���
OLD METER# _ 1��� 1 ��
OLD READING_�p v I � �lJ
NEW METER# ���lJ� O�O
NEW READING l �
ERT# � ' °�� � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing ar repair of ariy water o�F sewer iine connecting the existing municipal system and any house or building for which the
appfication 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 this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notif'ied. It shall be unlawfu!to cover
any connecting line until a�inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAtNTENANCE TO CONNECTION �
After the initial connection has been made to the water servlce curb stop box or the sewer lead at the property line or a water se�ce kad has
been exte»ded to the property line for connection,the applicant,owner,or oceupant or user of wch premises shall be liable for all repairs
required to any water line a�d sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the propert�/owne�shall be charged for the c�ts 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 applicarit,
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 maiMain the wacer service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)