Meter Swap Request Number: 14881
Public works Division
Service Request
Problem Address: 4803 2nd St Requested By: Mike
DepArtment: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 572-8916
Schedul d te: 2 7-04-26 �„t Schedaled 1lme: q'av
n. 2C� ` ,
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-24
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ACIION TAi�N:
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Status: InxProgress Submitter Has Been r,
Contacted
Date Completed: � _ 1 P„, �� Completed by: g �
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or Rs employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water lioe from the main to the premise and all irKerior
plumbing. (Per City code 402.06j 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,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.
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FINAL METER REwD1NG(oid meter) �I lU �/J"v�,V
c ! V � .�.Y�v
Name: �'�'�'�� Address _ � �}-f •
Phone Number ���` ���� p�e �"j � �YL— ��
Signature YVitness Si�nature
OLD METER# �"� I O�(1 � ��
O�D READING ��� ���O
NEW METER# � `�� �� ��
NEW READING �
ERT# ���I 1 � ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,556,629,638,662,922,988,1144,1156,1191)
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 coMractor 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 Department shall be notified. It shall be unlawfui to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approvoecl by the City as a
proper and suitable co�nection.
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 sen�ice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch 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 Cty,the property 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 applicaM,
owner,occupant or user to perform standard maintenance of the sewer service 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 will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)