Meter Swap � � Request Number: 15179
Public Works Division
Service Request
Problem Address: 4832 2 1/2 St Requested By: Lindsey
Departmeut: WATER Address: No address�ovided
Problem/Jasue: INSTALL AMR METER Phone Num6er: 952-200-2422
Sche d te: 2017-OS-10 a , Seheduled 1lme: 0830:00
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A(,"IION NEEDED:
Created by: Wendy Hiatt DAte Created: 2017-05-Q8
AGTI N TAKLN:
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� Status: In Progress ��rter Has Beea �
Contacted
Date Comple�d: Compieted by:
�--f d �I� 7cc� l6r
Y
�e • City of Fridley /�j
Water Department � O '` ������Of
6431 University Avenue NE �"
Fridley,MN 55432 �� (,�QIY�
763-572-3566
I/we hereby authorize the C'rty 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 interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may acur while doing this
operation. This to include,but not limited to valves,piping,walls,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 meter) _��� ���
Name: �I�V�M Address �� cJ� �,`� ��
Phone Number �c� V^ �,IJIJ'— �"I�Date_��V V — ��
Signature Witness Signature
OLD METER# �"6 1 1 O lJ—IZ
OLD READING /��o� � �c�,�
NEW METER# � tJ I V� ' ��
NEW READING �
ERT# � I d� (�-O,�� •
�RIDLEY 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 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 be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. 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 wnnection 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 for connection,the applicant,owner,or occupant or user of such premises shaH be liable for a!!repairs
required to any water liae 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 Cityr,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding deb�is dearing 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 tinished
grade of the land or property. (Ref 638,1156,1191)