Meter Swap � � Request Number: 14579
Public Works Division
Service Reqt�est
Problem Address: 5347 Altura Rd Requested By: Richazd
Department: WATER Address: No address provided
Problem/7sane: INSTALL AMR METER Phone Nnmber: 763-205-3569
Schednled Date: 2017-04-13 Sc6edeled 11me: 01:30:00
, � �
ACIION NEEDED:
Created by: We�y Hiatt DaEe Cre�ed: 2017-04-06
ACIION TAi�N:
V ' "C�\vv�` ` 1 �
Stxtus: In Progress Sabmitter H�Been �,
Co�acted
Date Com�eted: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�JWe 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 premise and all iMerior
piumbing. (Per City code 402.06) i also hold the Ctty of Fridley and/its employees harmless for any damages that may ocwr whife doing this
operetion. This to include,but not limited to valves,piping,walls,floors or the curb stop box and servite line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter� �� �� � `o
Name• ��tiU�� Address �� \� �����
Phone Number_i 1����~' ��� I Date �J `�� ��
Signature Witness Signature �✓ \
OLDMETER# ���� �� ��
OLD READfNG ���� �`4 V
NEW METER# i i t-�J �� ��
NEW READING �/
ERT# � ��1 � `-1 ��
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 o�repair of any water of sewer line connecting the existing municipal system and ar�y house or building for whid�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. It shall be unlawful to cove�
any wnnecting 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 connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connedion,the applicant,owner,or occupar�t 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 owner
requests maintenance senrice or repairs be performed by the City,the property owner sfialF be charged for the costs of the maintenance andJor
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 pe�form standard maintenance of the sewer service line from the premises to the main including debris dearing o�
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)