Meter Swap �: " , A
Request Number: 14669
Public Works Division
Service Request
Problem Address: 112 53rd Ave Requested By: Robin Uto
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-350-7340
Scheduled Date: 2017-04-22 5cheduled'ISme: 10:30:00
Gl r' ,� � •
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-13
ACTTON TAI�N:
,
Status: in Progress Submitter Has Been �
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
- place the water meter. i understand that the property owner is liable for the water line from the main to the premise and alf interior
f;, plumbing. (Per City code 402.06) I also hold the City of Fridley and/'ns employees harmless for am 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
'� r to obtain a permit prior to any work,if necessary.
FINAL M READING(old meter) �OS I��O
L �f�
_ Name• ,�^ Address ��� �7 11`p
Phone Number �� '� � Date —1"v�^ �,
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Signature Witness Signature
OLD METER# �� I.�Z-���
OLD READING S to7 ________--�------�--
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NEW M�ER# II IIIIIIIIIIIB
IIIIIIIIIN
III0111
ry� 49208095
NEW READING _ lU - ____
ERT# � IIIII IIIIIIIIIIIIIIIII �
---��11 72223324� '—
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 sewrer line connecting the existing municipal system and arry house or building for which the
application 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 Department shall be notified. k shal{be un{awful to cover
any connecting line until an inspection has been made and such connection and the work incide�t thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS ANDMAINTEWANCE 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 sen�ice lead has
been extended to the property line for connectton,the applicant,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 the property�tner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repeirs 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 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 prope►ty. (Ref 638,1156,1191)