Meter Swap �
ti Request Number: 14996
Public works Division
Service Request
Problem Addreas: 4839 2 1/2 Street Requested By: I.awnne Lynk
Departme�: WA1ER Addresa: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-639-6579
Scbeduled Dat • 2017-OS-OS � 5c6ednled 11me: 07:00:00
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ACTION NEEDED:
Created by: Beth Ko�ick Dxte Created: 2017-04-27
ACITON TAKEN: �
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5tatvs: Tn Progress Snbmitter Has Been �..,
Contacted
Date Completed: �_ � ` ' � Completed by: }�'
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City of Fridley �
Water Departrnent � 3G�3 �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what�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 all ir�terior
plumbing. (Per City code 402.06j 1 also hold the City of Fridley ar�d/its employees harmless for arry damages that may ocaar whHe doing thls
operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop box and servise line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) 1.� ��� 'O
Name: �fi�✓d�1 v�,iP �'/'h � Address `V J� � ,�'Z► �j�.,
Phone Number ` � 7—�✓� � `t'�� ` Date �— '7� 1�
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Signature Witness Signature
OLD METER# ��V Vl� �
OLD READING C �E/ ` � J�V
NEW METER# � 1 �d � � t CJ
NEW READING D
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 repai�of any water of sewer line connecting the existing municipal system and any house or buildie►g for whkh the
appltcation is made,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 shal�be not�ed. It shafl be unlawful to wver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a wate�sen+fa lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liabie 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 mairrtenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibillty of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the fintshed
grade of the land or properly. (Ref 638,3156,1191j
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