Meter Swap � !
Request Number: 14641
Public works Division
5ervice Request
Problem Address: 537�Altw-a Rd Requested By: Molly
Department: WATER Address: 5377 Alt�ra Rd
Fridley,MN 55421
Problem/Issue: INSTALL AMR METER Phone Nmnber: ?63-424-7068
Scheduled Date: 017-04-13 Scheduled Time: 07:00:00
V � 0 / � ,
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-12
ACTION TAI�N:
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5tatus: 1n Progress Submitter Has Been r.,
Contacted
Date Completed: Completed by:
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City of Fridley
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Water Department �� �j���
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
Ijwe hereby authorize the City of Fridley andJor 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
plumbing. (Per City code 402.06j 1 also hold the City of Fridley a�dJ'�ts 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 box and service line. In understand 1 am also required
to obtain a permit prior to any worlc,if necessary.
FINAL METER READING(old meter) � ��� � �/�
Name: � `��' Address��� 1 A��V r0. Y�p�
-��2= -� ( Z� t-�
�honeNumber �✓ �� �C���e � � J
Signature _ Witness Sig�ature
OLD METER# 1� Z� � � 2y
OLD READING Q �� � � JC�
NEW METER# �t� t�) Z7� i�,
NEW READING O
ERT# � ��I ��O�
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 iine connecting the existing municipal system and arry house or building for whidt the
application is made,the owner or contractor shafl be required to obtain a permit for such connection,and shall pay a pe�mit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shail be notified. It shall be unlawful to cover
any connecting line until an inspection has been made artd such connection and the work incident thereto has bee�approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water s�rvice curb stop box or the sewer lead at the p�operty line or a water service lead has
been extended to the property line for connection,the applicant,owner,or ocwpant or user of such premises shall be liabfe for al)repairs
required to arry water line and sewer lines necessary for connection o�f the premises from the main to the premises. {f the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of th�mairrtenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shap be the responsibility af tfie appiicarK,
owner,occupant or user to perform standard maintenance of the sewer servlce line from the premises to the main induding debris dearing ar
root cutting and to maintain the water service curb stop box for operabit�ty and at such height as wili ensure that it remains above the flnished
grade of the land or property. {Ref 638,1156,1191)