Meter Swap � � Request Number: 14985
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Pubbc Works Division
Service Request
Problem Address: 4638 2 1/2 St Requested By: Carl Jenson
Deparhnent: WATER Address: No address provided
Probtem/Iss�: INSTALL AMR METER Phone Nmnbcr: 572-8950
Scbednled Date: 017-0�-28 Sc�edaled 1ime: 11:30:00
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1�1.
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-2?
ACIION TAI�N:
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5tatns: In Progress ��itter Has Been r
Contacted
Uate Completed: Completed by: �a4 ,�Q
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ld�' ���130- D �
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City of Fridley v � �j� I
Water Departrnent
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
i/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 all iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocour while doing this
operation. This to tnclude,but not limited to valves,piping,walls,floors or the curb stop box and s�rvice line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � � 1 ��
Name:_ 1�1N C �e���- Address_ L��t1 � `� J�" -
Phone Number ���" V��� Date ��� �� 1
Signature Witness Signaiture
OLD METER# � `-'� o� °'`-�`�
r7�� ��6 ,
OLD READING
NEW METER# � 1� �v �v
NEW READING � � +
ERT# G � ������
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
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 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 Departmerrt 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 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 curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line far connection,the applipnt,owner,or ocwpaM or user of such premises shall be liable for alt repairs
required to any water line and sewer lines necessary for connectlon of the premises from the main to the premises. If the properly owner
requests mairrtenance service or repairs be performed by the City,the property owner shalt be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. 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 including 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 finished
grade of the land or property. (Ref 638,1156,1191)