Meter Swap �.
* Request Number: 14817
Public Works Division
Service Request
Problem Address: 4880 3rd St Requested By: Todd Campbell
Department: WA1ER Address: No address p�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-226-6273
Scheduled Date: 2017-04-28 � Schedaled 1lme: 11:00:00
Q.{N�
ACTION NEEDED:
Crested by: Wendy Hiatt Date Created: 2017-04-20
ACTYON TAI�N:
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Status: 1n Progress Sabmitter Has Been r
Contacted
Date Completed: �r��� �� Completed by: �a IL�
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City of Fridley 3��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its 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 interbr
plumbing. (Per City code 402.06) I also hold the Ctty of Fridley and/its employees harmless for any damages that may oaur 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 ��� " � �
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Name: ��� � l, .�� l Address � C/� c )1 V ��
Phone Number ���� C�p�-t�`�lJ/���Date �'v�v! ' 1
Signature Witness Signature
OLD METER# l� � i �5 �
OLD READING_ ��� �
NEW METER# l� I�U� � ��
NEW READING �
E�# �"Z �� � `��. 3 �-
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 for whid�the
application is made,the owner or corrtrador 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 notified. It shall be unlawful to cwrer
any connecting line until an inspectioo 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 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 service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie for atl 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 shall be charged for the costs of the maiMenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main induding debris dea�ing or
root cutting and to maintain the water service curb stop box for operabil'ity and at such height as will enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)