Meter Swap .�
4 Request Number: 15051
Public works Division
Service Request
Problem Address: 5190 3rd St Requested By: Harriet Ewing
Depsrtme�: WATER Address: No address provided
ProMem/Issue: 1NSTALL AMR METER Phone Nnmber: 763-586-0923
Schednled Date: 2017-05-08 Schednled 1Ime: 07:30:Of1
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-28
ON TAI�N•
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Status: In Pro ss Snbmitter H�Been �,
� Co�acted
Date Completed: Completed by:
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a lV2 �" ��'� [ C� ��2
� City of Fridley �� � ` � �3
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the Ctty of Fridley 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 iMerio�
plumbing. (Per City code 402.06) I also hold the City af Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. in understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) v "—' �t/ `�O
Name:���Y \ ��� `'�--1�� Address� -I D �1�� ��
Phone Number �V _���� ��ate �� �^ ��
Signature `� � �-- Witness Signature
OLD METER# � C��`"1 `�J"� �
OLD READING V � �O r�O
NEW METER# 1� `V�
NEW READING O
ERT# � � C�Z 4�� �
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 arry water of sewer line connecting the existing municipal syslem and arry house or buildi�for which the
application is made,the owner or contractor shall be required to obtain a permit for wch 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 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 suitabie 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 Itne or a water service lead has
been extended to the property line for connection,the applicar�t,owner,or occuparrt or user of such premises shall be liable for ali repairs
required to any water line 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 City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. it shall be the responsibility o�f the applicant,
owner,occupant or user to perform standard mair�teoance of the sewer service line from the premises to the main induding debris�learing or
root cutting and to maintain the water senrice 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)