Meter Swap �` �
Request Number: 15002
Public Works Division
Service Request
ProMem Address: 4615 3rd St RequesEed Bys Deimis Yow�ker
Department: WATER .�Wress: No address provided
Problem/Iss�: IN3TALL AMR METER Phone Number: 763-572-8944
Sc Date: 2017-OS-Oi �c ,__ Schednle�'Iime: 11:00:00
he�� �1
ACIION NEEDED:
Created by: Betti Kondrick Date Created: 2017-04-27
ACTION TAKEN:
Status: In Progress ���$r H�s Been �
Coutacted
Date Com�eted: Completed by:
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City of Fridley S�� �� � �
Water Department �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridiey andJor its empioyees to do what is necessary to
repface the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ail interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/'tts employees harmless for any damages that may ocwr 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) 1� liV 1 �v
Name: c�e��.1j v v,� �W r �� Address ���� �f� ��
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Phone Number Date� (�
Signeture v \ ��- Witness Signature
OLD METER# i�� �—I Z��
OLD READING ' ���� O
NEW METER# � � ' 1
NEW READ{NG [J
ERT# � ( ��v���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(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 li�e�nneding the existing municipa{system and arry house or building for which the
application is made,the owner or coMractor shall be required to obtain a permit for such connection,ar►d sha{I pay a perm�t fee as prrnrided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be�otified. It shall be unlawful to coVer
any connecting line until an inspection has been made and such connection and the work incident thereto has been apprrnied by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEPIANCE TO CONNECTION
After the initial connectio�has bee�made to the water service curb stop box or the sewer tead at the property line or a water servtce lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connectton of the premises from the main to the preroises. 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 mai�enar►ce and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibiltty of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including deb�is dearing 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 las►d or property. (Ref 638,1156,1191j