Meter Swap y
f Request Number: 16067
Public works Division
Service Request
Problem Address: 4820 2 1/2 St Requested By: Paul Dreblow
Depxrtment: WA'lER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 952-412-7386
Sc6eduled Date: 1?-06-23 Schednled Time: 09:00:00
� �
ACiION NEEDED:
Created by: Beth Kondrick Date Created: 2017-Q6-20
A��TAI�NI
.___...._.._........��._� �� �.._ __..._._._ ..._._.__
Shtus: In Progess Snbmitter Has Been r
� Co�rtacted
Date Completed: Completed by:
�0 '2-�� �1 I �r'
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(��- �� ���a� d�
a City of Frid9ey � �
+ Water Departmen� � t ,�� �
6433 University Avenue NE ��
Fridley,MN 55432
763-57Z-3566
i/we fiereby authorize the Cty of F�idley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owne�is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) {also huld the C'rty of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wa!(s,floors or the curb stop box and senrice line. In understand 1 am also required
to abtain a permit prior to any work,if necessary.
FINAL M R READ{AIG(oid meter) � ��� � �O
Name: �`""`�-'�7�N Address ��� ��lZ— C��
Phone Number ���'���ate � ^ "'�� ��
5ignature Witness Signatu�e
OLD METER# �� � �� � ' �
OLD READING �l �J '�-� ��Q
NEW METER# �����"�� S
NEW READING�
ERT# ������ � �""�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STaRM WATER AND SANITARY SEWER
ADMfNISTRAT10P1
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4�2.5 PERMIT FEE
Prior to construcCing or repair of any water of sewer iine conneding the axisting municipal system and any house or building for which tfie
application is made,the owner or contractor shall be requi�ed 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 shati be noiified. It shall be unlawful to cover
any connecting line u�til an inspecCion has been made and such conrtection and the work incident thereto has been approved 6y the City as a
proper and suitable connection.
9�02.06 REPAIRS AND MAINV'EIYANCE TO CONfYECT10A1
After the initiat connection has been made to the water servtce curb stop box or the sewer lead at the properly iine or a water service lead has
heen extended to the property{ine for connection,the applicant,owner,or occupant ar user of such premises shalt be tiabie for ail repairs
required to any water line and sewer lines necQssary for connectiort of the premises from the main to the premises, tF the�roperty owner
requests mair+te�ance service or repairs be perFortned by the City,the property owner sha{I be charged for the costs of the mairrtenance and/ar
repairs,including necessary street repa(rs at a rate set annuaily by an administrative poliry. It shal!be the responsibi{ity af the appfiqrrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the mai�including debris clearir�g or
root cutting and#o maintain the rvater senrtce curb stap box for opera6ility and at such heaght as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191}