Meter Swap �
Request Number: 15174
� Public Works Division
Service Request
Problem Address: 4868 3rd St Requested By: 17ieodore
Department: WATER Address: No a�lress pc�ovided
Problem/tssue: INSTALL AMR METER Phone Number: 612-475-OS96
SchedWed D e: 2017- 5- 2 Sc6eduled 1lme: 01:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-OS
ACII N TAI�N•
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Status: In Progress ���er Has Been �,
Contuted
Date Completed: Completed by:
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City of Fridley �
,� Water Department S� .� �(�
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. I understand that the property owner is liable for the water line from the main to the premise and atl interior
plumbing. (Per City code 402.06) I 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,walls,floors or the curb stop box and service line. In understand 1 am also requtred
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)�L�1�q� ��
Name: X��C''�`�'� Address_ y.�`v� �� ��
Phone Number � 1�� i��� �� ��r ��
Signature Witness Signature
OLD METER# � � �, ����
OLD READING ���� � /�/
NEW METER# ���0 � �4 I
NEW READING O
ERT# � � � � ` ���
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 building for which the
application is made,the owner or coMractor 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 be notffied. it shall be unlawful to cover
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the Crty 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 s�rvice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Ilable 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 property owner shaii be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibil'�ty of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debrys clea�ing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)