Meter Swap +�
� Request Number: 15369
Public works Division
Service Request
Problem Address: 4630 3rd St Requested By: Cheryl
Departmeat: WATER Addreas: No address provided
Problem/L4sue: INSTALL AMR METER Phone Number: 763-370-8783
Scheduled Date: 2017-OS i .� Sched ed 11me: 09:00:00
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-16
ACTION TAI�N:
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Status: In Progress Sabmitter Has Been r
Contacted
Date Completed: Completed by:
,�_ �g- j`� `7�" �t�'r
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" City of Fridley
Water Departrnent �� � / (. I �ij�
6431 University Avenue NE `��
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. 1 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 ocar while doing this
operation. This to include,but not limited to vaives,pipi�g,walls,floors or the curb stop box a�d service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter}�� +�t � � �
Name. ` Address r��4 �'�(�' ��
Phone Number�iVJ���o����.J� D� � �� � ��
Signature �—" Witness Signature
OLD METER# �� L�CJ O {� �
OLD READING ___V��1 � � �
,
NEW METER# '�1 1J�`� � c� � I
NEW READING S.J
ERT#� ��7 I � `-� � I
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 munkipal system and any house or Iwilding fw 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 Departme�shall be notified. R shall be unlawful to cover
any connecting line until an inspection has been made and wch 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 properly 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 shall be liable 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 properly owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/vr
repairs,including necessary street repairs at a rate set annually by an administrative poliry. 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 including debris dearing or
root cutti�g 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)