Meter Swap . �
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Request Number: 16209
Public Works Division
Service Request
Problem Address: 217&219 57th Pl Requested By: Michelle �
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-710-0789
Scheduled Date: 201,7-07-06 Scheduled'tyme: 09:00:00
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ACTION NEEDED: _ meter. �j�
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Created by: Wendy Hiatt Date Created: 2017-06-30
ACTION TAI�N:
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Status: In Progess Submitter Haa Been �..
Contacted
Date Completed: Completed by:
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l �3� �f �f���d __ o�
� City o#�ridley ��� j���3
Water Department `��
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��`"�e hereby authorize the City of Fridtey and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable far the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) i also hold the City of Fridley andfits 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 bax and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterJ O��`� � �
Name• 1' Y�,V,.,�_�i� Address � V� �' C..��_,��� T" I
Phone Number 1�0� � fU'� ��� p� �r`C/ —��
Signature Witness Signature
OLD MfTER#�����T 1 �'j� .;::�.�`"a"�."",�^�
OLD READING ������ �L y~��� �y�Q�—•
,...�, ���,2� . r: ..�. �.�
NEWMETER# ��--�� �''�` Ff
PIEW READING O
ERT# �12� I °�2I y
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 munic(pal system and any house or building for which the
application is made,the owner or contractar shal!be required to obtaip a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connectio�has been made,the Water and Sewer Department shalt be nottfied. It shail 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 A111D MAINTENANCE 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 seroice tead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie for ail repairs
required to any water li�e and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requesfis mai�rtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary st�eet repairs at a rate set annually by an administrative policy. it shall be the responsibility of the appiicarit,
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 maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)