Meter Swap "�
� Request Number: 15399
Public Works Division
Service Request
Problem Address: 4538 3rd St Requested By: Mike
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Nnmber: 612-702-3337
Scheduled Date: 2017-OS-18 Schednled Tlme: 01:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Dsite Created: 201�-OS-1�
ACIION TAI�N: ��
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Status: In Progress Snbmitter Has Been r.
Contacted
Dxte Completed: Completed by:
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, City of Fridley
Water Department
6431 University Avenue NE
Fridfey,MN 55432
763-572-3566
I/we hereby authorize the City af 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
p(umbing. (Per City code 402.06) I also hold the CH.y of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) d �� ' �` �
� Name• '"'V �i Address � � J E> ���► �'c
Phone Number �Y�� w(Jr�3�� Date � "� ��
Signature Witness Signature
OLD METER# � t75( ����
OLD READING ���� 1 I b
NEW METER# �� 6 D���
NEW READING �
ERT# � I C/ � " { �`��
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 municipai system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a perm�t fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shalt I�notified. It shall be unlawful to cover
any cvnnecting line u�til an inspection has been made and wch connection and the woric incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOM
After the initial connectio�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 occuparrt or user of such premises shail be liabie 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 shatt be charged for t6e costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibil'rty of the applicant,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the(and or property. (Ref 638,1156,1191)