Meter Swap � ' Request Number: 15358
Public Works Division
Service Request
Problem Address: 4675 3rd St Requested By: Charles
Departme�: WA'IER Address: No�dress provided
Problemilssue: INSTALL AMR METER PLone Number: 763-227-3532
Scheduled DAte: 201�7-OS-20 Scheduied'ISme: 02:00:00
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ACTION NEEDED:
Cre�ted by: Beth Kond�ick Date Crexted: 2017-OS-1 S
ACTION TAI�N:
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Status: In Progress Submitter Has Been r �
Contacted �`
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Date Completed: Completed by: ' l
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City of Fridley /-
� Water Departrnent /� � /�lo
6431 UniversityAvenue NE ��� `r
Fridiey, MN 55432
763-ST2-3566
�/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 ali i�rterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and service li�e. In understand i am also required
to obtain a permit prior to any work,if necessary. �
FINAL M ER REA ING(old meter) ��;��� a�a
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Name• Address '
Phone Number ����' � Date
Signature Witness Signature
OLD METER#5,����� ._.)
OLD READIN���' d��
NEW METER# 1 !Z� 1 �
NEW READING
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� 1 72355'I08 ,!
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 any house or lwildir�for whkh ihe
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 ii of this Code. After such connection has been made,the Water and Sewer Department shall t�notif'�ed. It shall be unlawful to cover
any conneding li�e 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 inKial connection has been made to the water service curb stop box or the sewer lead at the property line or a water ser�rice lead fias
been extended to the property line for connection,the applicant,owner,or occupa�rt or user of such premises shall be liabte for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premFses. tf the property owner
requests maintenance service or repairs be performed by the C'ity,the property owner shall be charged for the costs of the maiMenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative polPry. It shall be the responsibility of the appticant,
owner,occupant or user to perform standard maintertance of the sewer service line from the premises to the main inciudirrg debris dearirtg or
root cutting and to maintain the water service wrb 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)
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