Meter Swap �
' Request Number: 15036
Public Works Division
Service Request '
Problem Address: 4647 2nd St Requested By: Kyle
Depsu�tment: WATER Addreas: No address psovided
Prableat/Isaue: INSTALL AMR METER PLoae Number: 763-442-2235
Schedulcd D�—" 2017-OS-02 Schedaled Time: 07:30:00
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ACIION NEEDED:
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`Created by: Beth Kondrick Date Created: 201'I-04-28
ACIION TAI�N:
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Sts�us: In Progress �bmitter H�Beeu r,
Contacted
Ih�te Compteted: � ^ �v �y Completed by: �Qr ,
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t City of Fridley ,` %�,(��-
Water Department �'� �F� rb v
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the properly owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) I aiso hold the City of Fridley and�ts employees harmless for any damages that may oaur while doing this
operation. 1'his to include,but not limited to vaives,piping,walls,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 � ` ����v
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Name• l`��/_�`Qi Address �� Y1, '
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Phone Number ���1 � " —���ate �� � ^ ��
Slgnature Witness Signature �—�
OLD METER# V G �� � 1�2V
OLD READING ��� lJG�
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NEW METER# ��� ��5�
NEW READING �
ERT# ��o'�I I � ��
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
Prio�to constructing or repair of arry water of sewer line connecting the existing municipal system and any house or�ildfog for which the
application is mede,the owner or contractor 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 unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City�a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
After the initial connection has been made to the water service cu�b stop box or the sewer lead at the property line or a water service lead has
been entended to the property line for connection,the applicant,owner,or occuparrt or user of sucb premises shall be liable f�aii repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shail be charged for the�of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility o#the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inctuding debris clea�ing or
root cutting and to maintain the water senrice curb stop box for operabil'rty and at such height as wili ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191)