Meter Swap ,,
� Request Number: 15083
Public Works Division
Service Request
Problem Address: 184 53rd Ave Requested By: Benjamin
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-502-1093
Schednled Date: 201�-OS-08 Scheduled Time: 10:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201?-0S-OI
ACTIOAi TAI�N: �
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5tatus: In Progress Sabmitter Haa Been r,
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department
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 necessary to
replace the water meter. I understand that the properly owner is liable for the water line from the main to the premise and all interior
plumbing. (Per�ty code 402.06) 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,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) '-�� � ��
Name: ��`1�����. Address � �� �
Phone Number L���0�� �, Date�� r V �
Signature Witness Signature `
OLD METER# � � � - 1 ���,�
OLD READING l �� !�� f] k>�
NEW METER# �"���� I� I
NEW READING �
ERT# � � ��4 E� I�
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 construding or repair of any water of sewer line conneding the existing municipal system and any house or building for whid�the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shali 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 not�ed. it shall be unlawfui to cover
any connecting line until an inspection has been made and such wnnectio�and the work incident thereto has been approved by the Ctty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTtON
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 servke lead has
been extended to the property line for connection,the applYcant,owner,or occupant or user of such premises shall be liabie for a{I repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maiMenance 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 induding debris clearing 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 fintshed
grade of the land or property. (Ref 638,1156,1191)