Meter Swap `"1S
* Request Number: 15029
Public Works Division
Service Request
Problem Addresa: 124 53rd A� Requeated By: Alexa�er
Department: WATER Addres:: No address provided
Problem/Issue: INSTALL AMR METER Phone Numbcr: 763-574-1319
Scheduled Date: 2017-05-(?4 Sc6edaled'llme: 0�:30:00
1 �' �.30
ACTION NEEDED:
CreAted by: Beth Kondrick Date Cre�ed: 2017-04-28
ACIION TAI�N•
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Status: In Progress 3ubmittcr Haa Bees �,
Co�acted
Dste Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the�ty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all i�rtertor
plumbing. (Per City code 402.06) I also hold the City of Fridley andr�employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop box and service line. In unden�tand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) i � 1� �{,�V
Name:_�`�_vlAl,a� '�! Address ��� C.7��d �T-�-�
Phone Number ���� '_`�� ( i�Date�� —4— '�
Signature Wkness Signature
OLD METER# � �1X)����
OLD READING � ()� O��_
NEW METER# � k� f �� � ��
NEW READING�
ERT# � � � � Z�o�'"'�2
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,92Z,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 any house or buildtng for which t6e
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee�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 cover
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 wnnedion.
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 Itne or a water service lead has
been extended to the property line for connection,the applicarrt,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. If ihe property owner
requests maintenance service or repairs be performed by the City,the property owrter shal!be charged for the costs of the mal�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. k shall be the responsibility of the applicant,
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 seroice 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)