Meter Swap �
E Request Number: 14953
Public Works Division
Service Request
Probiem Address: 101 49th Ave Requested By: Laura Grant
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-227-2397
Scheduled Date: 2017-OS 02 / Sc�ednled 13me: 07:00:00
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ACTION NE�I3ED:
Created by: Wendy Hiatt Date CreAt�d: 2017-04-25
ACTION T N:
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Status: In Progress Submitter Ha�s Been r
_ Coutacted
Date Completed: Compteted by:
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City of Fridley �� � ��;(�
Water Department
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6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby aatF�orize the City of Fridley and/or its employees to do what�S necessary to
replace the water meter. I understand that the property owner is IiaWe for the water line from the main to the premise and ait irtterior
plumbing. (Per City code 402.06j 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(otd meter) ��� � �Q
Name• �v��, �`�� Address_�V , �� �e—
Phone Number_�X.����������e __� — ?�^ ��
Signature Witr�ss Signature
OLD METER# l �� � �- 1 O (
OLD READING_� �]� `, "�Y Q
NEW METER#_ '( (���� � ��
NEW READING_�
ERT# � ( � ' �� � �
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 building far whkh the
epplication 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 Departmern shall be notified. !t shall be unlawful to cover
any connecting tine until an inspection has been made and such connection and the work incident thereto has been appro�d by the City as a
proper and su'itable connection.
402.06 REPAIRS AWD MAtNTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water serv�fead has
been extended to the property Jine for connection,the appllpnt,owner,or occupant or user of such premises shall be liable for all repaFrs
required to any water line and sewer lines necessary for connection of the prernises from the main to the premises. If the property�rner
requests maintenance service or repairs be perFormed by the t;ity,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rete set annually by an administrative policy. It shall be the responsibility of the appUcaM,
owner,occuparn or user to perForm standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such hetght as will enwre that it remains above the finished
grade of the land or properly. (Ref 63$,1256,1192j