Meter Swap �...
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E � + + � Request Number: 15327
Public Works Division
5ervice Request
Problem Addreas: 4617 2 1/2 St Requested Hy: Daccy
DepartmsM: WATEIt Address: No address pmvided
Probleetllssue: INSTALL AMR METER Phone Number: 5�1-2149
ScheduLed I�te: 2017-OS-16 .,,,� Scheduled 11m�: 10:30:OU
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"''�� A�ClI(�N NEEDED:
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l�Creaf�i by: Wendy H�axt Date Created: 2017-OS-12
ACT�QN TAKEN: _
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Status: In Pro�ess �bmitter H�a Beea �.,
Contacted
Date Cos�pleted: �_ 1 �y � Completed by: ��,•
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~ City of Fridley
WaterDepartment �ih �. f� I`t�p
6431 University Avenue NE r� ���
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 property owner is liable for the water line from the main to the premise and ali irrtertor
plumbing. (Per City code 402.06j 1 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,walis,floors or the curb stop box and service li�e. lo understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �� � � �
"� �(�' tl C
Name: ✓���� Address "� �' ✓� �
Phone Number ��` � ��� � Date � �' ���� ��
�.--�.
Signature Witness Signature
OLD METER# L�Q r �C� C�
OLD READING D/ lY�� �U
NEW METER# � l 1 V�o� �� t��
NEW READING �
ERT# L I `p�. �� / �
FRIDLEY CITY CODE
CNAPTER 4U2.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 wnstructing or repair of any water of sewer line connecting the existing municipal system and any house or building for whTch the
application is made,the owner or corrtractor shafi be required to obtain a permit for such wnnection,and shail pay a permit fee as provtded in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. 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 Ctty as a
proper and suitable connection.
402.06 REPAiRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer tead at the qroperty line or a water servkg lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repatrs
required to any water line and sewer lines necessary for connection af tfie premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shail 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 applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inctudir►g debris clearing 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�nished
grade of the land or property. (Ref 638,1156,1191)