Meter Swap �
1
y Request Number: 15232
Public works Division
Service Request
Problem Address: 4880 2 1/2 St Requested By: Ms Mardock
Departme�: WA1ER Address: No address provided
Problemllssue: INSTALL AMR METER Phone Number: 952-24fl-2944
Scheduled Date: 2017-05-11 Seheduled 13me: 01:30:00
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ACTION NEEDED:
Created by; Wendy Hiatt 1]ate Crexted: 201�-OS-09
ACTION TAI�N: � �
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Status: In Progress 5abmitter Has Been r
Coatncted
Date Completed: Completed by:
Honrs
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City of Fridley � �
Water Department �`p�� ���,�
6431 University Avenue NE ���
Fridley, MN 55432
763-572-3566
�/we hereby authorize the Crty of Fridiey 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 i�erior
piumbing. (Per C+ty code 402.�) 1 afso hotd the City of Fridiey and/its employees harmless for any damages that may o�r while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop 6oz and service line. tn undersWnd 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter} �"' � r�o
Name: �� Y"�(�C��/'L" Address � � � �/ � y j2- 5 i— ,;�
Phone Number__ L ��1�-L V`��� pate ✓ �G C � � /
Signature Witness Signature �^ , i�-
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OLD METER# � � vV �
OLD READtNG `-�� - Lo"� C�� -�,;
NEW METER# ���O CD v��, � �
NEW READING �
ERT# t l���U � �
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 repair of arry water of sewer line connecting the existing munictpal system and any houss or building for whkh 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 p�ovided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shalt be unlawFul to cover
any connecting line until an inspection has been made and such connection and the worfc incident thereto has been approved by the Crty as a
proper and suttable 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 se�lead has
been extended to the property{ine for connedion,the appiicant,owner,or occupant or user of wch premises shall be Ilable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shaii be charged for the costs of the maintenance and/or
repairs,inc{uding necessary street repairs at a rate set annually by an administretive poliry. It shall be the responsibility of the applicarit,
owner,occupant or user to perform standard maintenance of the sewer senrice tine 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 wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)