Meter Swap �
' Request Number: 15093
rublic works Division
Service Request
Problem Address: 4655 2 1/2 St Requested By: Ms Kasperovich
Departmeut: WATER Address: No address pcovi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-898-6760
Schedule te: 2017-OS-03 d 5chednled'Ilme: 01:00:00
Y l�
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-05-02
ACITON T N:
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5tatus: 1n Progress Sabmitter Has Beee r
Contacted
Date Compieted: Completed by:
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City of Fridley ���V���-�---
Water Department
6431 University Avenue NE � � (�a.. (o �
Fridley, MN 55432
763-572-3566
�/We hereby authori:e the City of Fridley and/or its employces 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 interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understa�d I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ' �� �
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Name:�_� 1 � Address ('�, � J � �I v �
Phone Number G`6-�� � Date_�� �~
Signature v \m/�- Witness Signature
OLD METER# �� - 1 ��� J
OLD READING �,�� J-1�
NEW METER# L�" 4 O� I ��
NEW READING_O
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 contrector 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 wver
any connecting line until an inspection has been made and wch connedion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property lirre or a water service kad has
been extended to the property line for connection,the applicaM,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 of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to pe'form standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water senrice 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)