Meter Swap > Request Number: 15263
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Public works Division
Service Request
Problem Address: 4703 3rd St Requested By: Mike Riley
Department: WATER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phose Number: 612-201-6520
Scheduled Date: 2017-OS-15 Schednled 11me: 10:00:00
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ACIION NEIDED:If someone could call ahead because of d�ogs that would be aQ�eciated
Created by: BethKo�ick Date Created: 2017-OS-10
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ACTION TAI�N:
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Statua: Tn Progress Submitter Has Been r,
Cotrtacted
DAte Completed: Completed by:
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City of Fridley � D�
a Water Department � r ���
6431 University Avenue NE Q(� j�
Fridley,MN 55432 J� '
763-572-3566
1/we hereby a�thorize the City of FrFdley and/or its empbyees to do what is necessary ta
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all iriterior
piumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to inclade,but not limited to vah�es,pipin&walls,�Ivors or the curb stop box arnl service lirre. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) O� �� � �
Name:� � Address �6� V � � � �
Phone Number `�:� � 'y 1c���ate � � V�� ��
Signature_ Witness Signature
OLD METER# ��"-'Z�� 1�
OLDREADING O� ✓� ����
NEW METER# —I ��b�I L� �
NEW READING�
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 repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,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 notlfied. It shall be unlawful to cover
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and witable 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 servke lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shali be liable for all repairs
required to any water line and sewer lines necessary for conneetion 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 maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line trom the premises to the main includi�debris clea�ing 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)