Meter Swap r
yl Request Number: 15260
Pl1�C wOYkS DIV1SlOri
Service Request
Problera Address: 4844 2 1/2 St Requested By: Ms Navans
Department: WA1ER Address: No address provi�d
' Problem/Issue: INSTALL AMR METER Phone Nnmber: 763-600-1186
Schediiled�►�te;.� 2017-05-17 Sched�le�'Rme: 07:00:00
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ACTION NEEDED:
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Created by: Wendy Hiatt Date Created: 201 T-OS-10
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ACTION TAI�N: �
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Status: in Progress Sabmitter Hae Been �. .
Coutacted
Dnte Complcted: S- (�— �� Completed by: J���
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� City of Fridley ' � � „� � /1�L%� ��3
Water Department �
6431 University Avenue NE � � t'-���
Fridley,MN 55432 Y
763-572-3566
�/we hereby authorize the C'�ty of Fridiey andjor 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 premtse and all ir�teriof
piumbing. (Per Ctty code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocau while doing this
operatiun, this to include,lsut not{imited to valves,piping,walis,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.
FINAL METER READING(old meterJ � � � �� �
Name: 1`�t,�• ,V�Jl\/CI.V�,�i Address � V t y � l�Z- 7T�
Phone Number 1(D� r `�� "" ��v� Date �� �� � ��
Signature Witness Signature ~
OLD METER# ��� � V ` ` V
OLD READING �� `�/ � ` v
NEW METER# � � �`` O��� l
f NEW READING v
ERT# � ` 1 � I���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
AOMINISTRATION
(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 contractor shail l�required to obtain a permit for such a�nnection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Departmerrt shali be notified. It shall be unlawful to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
ARer the initiai connection has been made to the water service curb stop box or the sewer lead at the properly line or a water serv�lead has
been extended to the property line for connection,the appiicarrt,owner,or occupant or user of wch premises shall be IIaWe for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the properly owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repain at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standa�d maintenance of the sewer service tine from the premises to the main includir�g debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such heigM as wiil ensure that it remains above the finished
grade of the tand or property. (Refi 638,1156,1191)