Meter Swap �
�_ Request Number: 14976
Public Works Division
Service Request
Problem Address: 4506 3rd St Requested By: Laura Pazkes
Depsrtment: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-1559
Schednled Date: 201'1-OS-01 Sc6ednled 1lme: 10:00:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-26
ACIION TAI�N:
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Status: tn Progress Submitter Haa Been �.,
Co�acted
Date Completed: Complettd by:
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v City of Fridley
Water Departrnent ��— �(3
6431 University Avenue NE
Fridley,MN 55432
763-5723566
I/we hereby authorize the C'rty of Fridley and/or tts employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City tode 402.06] i also hold the CFty of Fridley and/its employees harmless for any damages that may oaur whpe doFrtg�ts
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In unders�nd 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���� ��
Name: �-(J1c�1�1, ��(I1L•�C/,] Address_`�1�!) O� C '��
Phone Number�W����� l���ate � 4� ��
Signature \ Witness Signature
OLD METER# ��� �—f �`-'��
OLD READING ��J � �Q
NEW METER# �t/ `� � � ��
NEW READING _V
ERT# � ( �/��/" � r��
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 arry house or building fo�which the
application is made,the owner or corrtractor shall 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 DepartmeM shall be noY�f'ied. ft shall be unlawful to�ver
any connecting line unti!a�inspection has been made and such connection and the work incident thereto has been approved by the C'ity as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property Iine or a water service lead has
been e�ctended to the pro�rty line for connection,the applicarrt,owner,or occupant or user of such premises shall be liable for all repalrs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the co�of the maiMenance and/or
repairs,induding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appli�nt,
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 mair�tain the water service curb stop box for operability and at such height as will ensure that it remains a6ove the flnished
grade of the land or property. (Ref 638,1156,1191)