Meter Swap � '� Request Number: 14974
Public works Division
Service Request
Problem Address: 4526 3rd St Requested By: Jenmifer Kline
Department: WATER Addresa: No address provided
Problem/Issue: INSTALL AMR METER Phone Nnmber: 61 Z-817-7390
Schedaled Date: 2017-OS-03 j Schedaled 11me: 08:30:00
.
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AC'IION NEEDED:
Cres�ted by: Beth Kondrick Dnte Crented: 2017-04-26
ACTION TAI�N:
Status: In Progress ��her Has Been r
Contacted
Date Compteted: Completed by:
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! � City of Fridley �
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Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the C'ity of Fridley and/or its employees to do what ts neassary to
replace the water meter. 1 understand that the properly owner is liable for the water line from the main to the premise and alt interior
plumbing. (Per City code 402.06) i also hoid the City of Fridley and/its employees harmless for arry damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box apd service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �✓ ����
Name: J'���'�Cl� �-���^'� Address_ '�1�� L� �'�o� lJV
Phone Number �J V�� 1� �� 1 � Il Aate v �^ ��
Signature_.,o_ Wit�ss Signature��,_
OLDMETER# —I� 1`�O-I�
OLD READING l �c� 10 �c� O
NEW METER# ��b�1, L 22
NEW READING�
ERT# � 1�� ��
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 ar�y house or buildtng for which the
appiication is made,the owner or contractor 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 Department shall be notified. It shall be unlawful to rnver
any connecting line until an inspection 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 wrb 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 shali be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the properly owner
requests maintenance service or repairs be performed by the C'ity,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris 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 land or property. (Ref 638,1156,1191)