Meter Swap �� 3
Request Number: 14646
Public works Division
Service Request
Problem Address: 100 53rd Ave Requested By: Lynn
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-9730
SchedWed Date: 2017-0 19 Scheduled TSme: I 1:00:00
C,v� ,� �. �O
ACTTON NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-12
ACITON TAI�N:
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Status: In Progress Submitter Has Been �,
Contacted
Date Completed: Completed by:
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City of Fridley ��� �_qT
Water Departrnent !V
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the C'�ty 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 premise and all ir�teerior
plumbing. (Per City�de 402.06) I also hold the City of Fridley and/'rts employees harmless for any damages that may ocar wh7e doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��� � � O
Name• � Address 1�� ��� �F'�
Phone Number �J ^� 1 � � � \`�`,-\,✓��
Signature Witness Signature
OLD METER# �� V � Y—�
OLD READING �`�O � t l J
NEW METER# ��� �J I ��
NEW READlNG 1�!
ERT#_� ��� 4 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 constructing or repair of any waler of sewer line connecting the existing municipa!system artd any hour�or�wiWir�for whkh the
application is made,the owner or contracto�shall be required to obtain a permit for such connection,and shall pay a permit fee a�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 connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial conneciton has been made to the water service curb stop box or the sewer lead at the property line or a water servlce lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable for all repairs
required to any water IPne and sewer lines necessary for connection of the premises from the main to the premises. If the property�rner
requests mair�tenance service or repairs be performed by fihe City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including 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 li�e from the premises to the main including debris clearing or
root cutting and to mairrtain 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)