Meter Swap r j
4 Request Number: 15092
Public works Division
Service Request
Problem�dress: 101 45th Ave Requested By: Alexander
Depnrtment: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-6636
Sched 2017-OS- � Scheduled 1lme: 10:04:00
ACTION NEEDED:
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� Created by: Wendy Hiatt Date Created: 2017-OS-02
ACfION TAI�N:
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Status: InProgress Snbmitter Has Been r,
Coirtacted
Date Compteted: ���� ,��-7 Completed by: 1 a 1, �
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� City of Fridley ��� �� (^�
Water Department lU
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
!/we hereby authorize the City of Fridley and/or its employees to do what is neces�ry to
replace the water meter. 1 understand that the property owner ts liable for the water line from the main to the premise and ali iMerior
pfumbing. (Per City code 402.06) I also hold the City of Fridley andrts employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. In undersWnd 1 am also required
to ob#ain a permit prior to any work,if necessary.
FINAL METER READING(old meter) `� � `�+'v �� �
Name: �l'��M.��� Address u t ��� �.
Pho�e Number ��' v `�'"v�� Date ✓ � � y J�•�
Signature Witness Signature
OLD METER# �� � ` �(� �
OLD READING � �� O��`�'
NEW METER# +��v���
NEW READING v
ERT# �l�a 1 �1 I� `�
FRiDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7RATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any fiouse or building for wtiich the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shafl 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 not�ed. 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 approved by the C1ty as a
proper and suitable co�nection,
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 iine for connedion,the applicant,owner,or occupant or user of such premises shall 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 property owner
requests maintenance service or repairs be pert'ormed by the City,the property owner shall be charged for the�sts of the mairrtenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarit,
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 fo�operability and at such heigM as wil{ensure that it�emains above the�nished
grade of the land or propertyr. (Ref 638,1156,1191)