Meter Swap t
� Request Number: 16035
Public works Division
Service Request
Problem Address: 261 57th Pl Requested By: Paul
Department: WATER Address: No address�ovided
Problem/Iasue: INSTALL AMR METER Phone Number: 612-209-9616
Scheduled Date: 201 -06-19 � 5cheduled 1lme: 01:30:00
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ACITON NEEDED:
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Created by: Wendy Hiatt Date G�eated: 2017-06-1 b
ACTION TAI�N:
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Submi�tter Has Been � ��
Statns: In Progress Contacted r
Date Completed: Completed by:
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� City of Fridley
Water Departrnent �a� ����
6431 University Avenue NE
Fridley,MN 55432
763-5723566
��We hereby authorize the City af Fridiey 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 interior
p(umbing. (Per City code 402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may occur while dang 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 aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_ l���� �
Name• �C�` Address_-L�, V �� ��
Phone Number� V��� -`� �p� 1��'� �
�Signature .. Witness Signature .
OLD METER# V�� �����
OLD READING '�� � ��
NEW METER# �Q L�����
NEW READIIYG �
E�# � �22�� ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNISTFlATtON
(Ref Ord No 113,464,565,566,629,63��,662,922,988,3144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the ex�sting municipal system and any house or buiidtng for which the
application is made,the owner or contractor shai(6e required to obtain a permit for such wnnection,and sE�afl 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. It shall be uniawful to cover
any connecting line until an inspection has been made and such connection and the work incident tfiereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connettion has been made to the water service curb stop box or the sewer tead at the property line or a water service lead has
been extended to the property line for connection,the applica�,owner,or occuper�t or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. !f ihe property owner
requests maintenance service or repairs be performed by the�ty,the property owner shall be charged for the�of the maiMenance and/or
repairs,including necessary street repairs at a rate set aonually by an administrative poliry. It shall be the respo�sibility of the applicarrt,
owner,occupant or user to perform startdard mairrtenaace of the sewer senrice tine from the premises to the main irtctuding debris dea�ing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains almve the finished
grade of the land or property. (Ref 638,1156,1191)