Meter Swap �
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Request Number: 15021
Public Works Division
Seivice Request
Problem Address: 4638 3rd St Requested By: A11y Heida
Department: WATER Address: No address provided
Problem/Isaues INSTALL AMR METER Phone Number: 763-370-Z981
Sched�iled Dxtt: 2017-05-41 5cl�daled�me: 0730:00 -
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ACTION NEEDED:
Created by: Beth Koix�rick Date Crented: 2017-04-28
ACflON TAI�N: .
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Status: In Pro�ess Sabmitter Has Been r,
Cout�ted
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Dnte Completed: /'„� � � ("7 Completed by: � ��, '; Yr�._
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City of Fridley � b � ���-�'
Water Department
6431 University Avenue NE
Fridtey,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is nec�sary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may ocw�whi4e doing this
operation. Thi5 to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FtNAI AAETER READING(o{d meterj �O �� ���
Name: �4�� ���FWI, Address !�`�`�� �� � �
Phone Number `�� — ��v�� 1 V� Date � � � ��
Signature Witness Signature
OLDMETER#�v�� �� 1
OLD READING �� ����
NEW METER# I 1 ��D� �� I
NEW READING 0
ERT# _ � '� � {� / (J
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER AND SANITARY SEWER
ADMINISTRA7lON
(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 municlpal system and aml house or building for which the
application is made,the owner or contrector shall be required to obtain a permit for wch�nnection,and shaff pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be uniawful to cover
a�y coanecting fine until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS APID 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 service lead has
been extended to the property line for connection,the applicarit,owner,or occupant or user of such premises sha41 be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the maia to the premises. If the property owner
requests maintenance service or repairs be perFormed by the City,the properiy awner sha{t be cfiarged for tfie tosts af the maintenance and/o�
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mai�rtenance of the sewer service tine 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 flnished
grade of the{and or property. (Ref 638,1156,1191)