Meter Swap •,
,� Request Number: 15217
Public Works Division
Service Request
Problem Address: 4856 3rd St Requested By: Terry Smoltz
Department: WA1ER Address: No address�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-839-4063
SchedWed Dxte: 2017-OS-10 Schednled 13me: 01:3U:00
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ACTION NEEDED:
Created by: Wendy I3iatt Date Creatcd: 2U 17-OS-08
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`ACTION TAI�N: � ��"�' "
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Status: Tn Progress Sabmittec Has Been � �
Cont�ted
Date Completed. I Completed by: ����
Hours . �~ (�` `�
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, City of Fridley SQ � ���
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City 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 irrterior
piumbing. (Per City code 402.06) I also hold the City of Fridley andJits emplayees harmless for any damages that may ocwr while doing tMis
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also requtred
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) v � " I v��
Name: 1 � �`i S11Y1.t9 l� Address ��-J� J lr`(� �- •
Phone Number �-ri�Z� ��J�v Lv�J Date �~ "" � � l
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Signature Witness Slgnature
OLD METER# `� � �� � a��
OLD READING ��� � �" �Ca
NEW METER# ����- `��
NEW READ{NG d
ERT# 1� � 4� �� ��
FRIDLEY CITY CODE
CHAP7ER 402.WATER,STORM WATER AND 5AIWTARY 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 am�water of sewer line connecting the existing municipal system and any house or bu(Wing fo�whiCh the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shali pay a permit fee as p�ovided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrc shall be notified. It shall be unlawful to c.over
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
4fl2.06 REPAfRS AMD MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property Iine or a water senrke lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabte for all 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 properly owner shail be charged for the com of the matntenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing 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)