Meter Swap �
� Request Number: 15024
Public works Division
Service Request
Problem Addresa: 4544 3rd St Requested By: Tim Herzog
Departme�: WA1ER A�ddress: No address provided
Problemllss�: INSTALL AMR METER P�o�Number: 651-334-8321
Sc�eduled DAte: 201?-OS-01 Schednled'llme: 02:0t1:00
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ACTZON NEEDED:
Cres�ted by: Wc�y Hiatt Date Created: 2017-04-28
ACTION TAI�N:
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status: In rrogress s�b�itter xas seeH �,
Co�acted
Date Compteted: Conq�leted by:
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City of Fridley
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Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is neaessary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all i�rterior
piumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its empioyees harmless for any damages that may ocar 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 required
to obtain a permit prior to any work,if necessary.
FINAL METER READING old �� �����
( meter)
Plame: � ��- �� Address �'S ��� ��Cd (,\
Phone Number�J�r�� ���(�1 Date � � ' ' 1
Signature Witness Signature �
OLD METER# � C�G („� I �
OLD READING �D �,�"� "�C��
NEW METER# � � L�� � ��
NEW READING �
ERT# � � +� � /J�p ��j
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(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 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 connedion has been made,the Water and Sewer Departmeirt shail be notified. It shall be unlawful to cover
any conneding line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAIAfTENANCE TO CONNECTfON
After the initial con�ection 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 extesuJed to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line a�d 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 shali be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responslbility of the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main indudi�debris dearing or
root cutting and to maintain the water service curb stop box for operebility and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)