Meter Swap �
1
` Request Number: 15266
Public works Division
Service Request
Problem Address: 4940 3rd St Requested By: Derrick
Department: WA'lER Address: No address provided
ProblemlI�sue: INSTALL AMR METER Pho�Number: 952-56�-1816
Scheduied 2017-OS-11 Schednie�llme: 01:OO:UtI
ACIION NEEDED:
Cresited by: Wendy Hi�t Date Created: 2017-OS-10
ACTION TAKEN:
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Status: 1n Progress Snbmitter Has Bean r.
Contacted
Date Com eted: Com eted
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City of Fridley
Water Department ��-� (,���
6431 University Avenue NE
Fridiey, MN 55432
763-572-3566
��rNe hereby authorize the City aF F�idiey andJor its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liab{e for the water line from the main to the premise and all interior
piumbing. (Per Ctty code 402.06) 1 also hold the City 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,wal{s,floors or tfie curb stop box and service line. In understand 1 am also required
to obtain a permit prior to anY work,if�ecessary.
FINAL METER READING old met � � � � D
( er� �
Name• �'e�1�Ci� Address l ����!_��f � �.
Phone Number ��� �"' ! '�'�(1 �� D� �~�� `� ��
Signature Witness Signature
OLD METER# ���� `"/ �
OLD READ{NG v��� ` �
NEW METER# ��vlD�`"� ��
NEW READING "
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FRIDLEY tITY CODE
CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
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402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer fine connecting the existing munic al system and any house or building for which the
application is made,the owner or contractor shali 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 Department shall be notified. It shall be unlawful to cover
any conneding 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.
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 line or a water senria lead has
been extended to the property line for wnnection,the applicant,owner,or occupant or user of such premises shall be Ilabie for all repairs
required to any water tine 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 maiatenance andjoc
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicar►t,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maiMain the water service curb stop box for operability and at such height as will ensure that it remains abqve the finished
grade of the fand or property. (Ref 638,1156,1191)