Meter Swap t ~
Request Number: 14950
Public Works Division
Service Request
Problem Address:', 4519 3rd St Requested By: Ancires Garcia
Department: , WA1ER Addreas: No address provi�d
Problem/Issue: ' INSTALL AMR METER Phone Number: 763-572-0734
Scheduled Date• 2017- -28 Schednled 1ime: 01:30:00
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ACIION ED:
GYeated by: I, Beth Kondrick D�te Crested: 2017-04-25
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ACTION TAI�N: '
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Status: � In Progress Snbmitter Haa Been r
Coittacted
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Date Completed: �I Completed by:
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City of Fridley �� �V��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We ' hereby authorize the Ctty of Fridiey and/or its employees to do what is necessary to
replace the water meter. M understand that the property owner is Itable for the water li�e from the main to the premise and all iriterior
plumbing. (Per City code�02.06) 1 also hold the Ctty of F�idley andrts employees harmless for any damages that may occur while doing this
operation. This to includej 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.
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FINAL METER READING(ol�l meter)
Name• C�;��►�� �'� V� �� Address ��� l �� �
Phone Number _`�������Date �,^ ��� ��
Signature _ Witness Signature
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OLD METER# �������`�-'�
OLD READING d����
NEW METER#_ "'1_'I '�V ����
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NEW READING\.J I��
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I FRIDLEY CITY CODE
, CHAPTER 402.WATER,57'ORM WATER AND SANITARY SEWER
'� ADMINISTRATION
(f�,ef Ord No 113,464,565,566,629,638,662,922,988,11A4,1156,1191)
402.5 PERMIT FEE
Prior to construding or repairl of any water of sewer line coanecting the exist9ng municipal system and arry house or building for which the
application is made,the ow�ek or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After',sucfi connection has been made,the Water and 5ewer Department shali be not�ed. It shall be untawful to cover
any connecting line untif an inSpection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connectio�.
402.06 REPAIRS AND MAINTEI�IANCE 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 senrice lead has
been eutended to the propertyl�line for connection,the appiicarrC,owner,or occupant or user of wch premises shali be liable for all repairs
required to any water line and'�ewer tines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service c�r repairs be performed by the City,the property owner shali be charged fa�the costs af the maintenance andjor
repairs,including necessary str�et repairs at a rate set annually by an administrative poliry. It shal4 be the responsibility o�f the applipnt,
owner,occupant or user to per�orm standard maintenance of the sewer service{ine from the premises to the main including debris clearing o�
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. ('Ref 638,1156,1191y
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