Meter Swap _
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Request Number: 14639
Public Works Division
Service Request
Problem Address: 172 53rd Av�e Requested By: Sandra Omshank
Department: WATER Address: 172 53rdAve
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-8219
Scheduled Dat • 2017- -21 5cheduled 15me: 08:Q0:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-12
ACTION TAI�N:
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by:
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City of Fridley �� -H- ����
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/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 property owner is liable for the water line from the main to the prcmise and all i�e�io�
plumbing. (Per City code 402.06) I also hold the City of Fridley and/'Ks empioyees harmless for arry damages that may oaur 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 I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN6(old meter) � �� � � �
Name• �a�1�fZ1�����J�� Address ��� � l)� �►�+"`-�
Phone Number��O d�� 1� g�C� Date �'��'� ��
Signature Witness Signature �-/
OLD METER# �.� 1 � �v ��
OlD READING �D� � � �
NEW METER#_—r�� �1 � - 1
NEW READING �
ERT# � ZZ L� d�'� �
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 any house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shall pay a permit fee as proWded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. It shall be unlawful to�ver
any connecting line 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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initia(connection has been made to tFie water service curb stop box or the sewer tead at the property line or a water service tead has
been extended to the property line for connection,the applicaM,owner,or occupant or user of such premises shall be Itable for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property�rner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMeoance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It 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 i�dudiog debris ciearing 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)