Meter Swap � --� Request Number: 14505
Public Works Division
Service Req�st
Problem Address: 5444 Altura Rd Requested By: �Nicole
Departmeat: WAZER Address: 'No address p�ovided
Probiem/Issne: INSTALL AMR METER Phone Numberc 763-572-0587
Schednied D�te: 2017-04-10 Sche ed Tlme: 02:00:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-04
ACIIO�TAI�N:
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St�: In Progress ����r Has Beea �.
Co��ted
Date Completed: Completed by:
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City of Fridley �
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
i/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understa�d that the property owner is liable for the water line from the main to the premise and all ir�terior
pfumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmiess for any damages that may occur while dofng this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am alw required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter� � `' �� � l-J
Name: � � ���� Address � 4 - l � �� " " u�-
Phone Number�!U�r���✓V� �ate " l� '� � ^ 1•�
Signature_1� Witness Signature /o
OLD METER# � � � �� ��
OLD READfNG ��1 Z� `"�v
NEW METER# ` `��� 1 ��
NEW READING D
ERT# � Z22�L-���p ��
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 municipal system and any house or!wi{ding for which the
appiication 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 Departmerrt shalf be�otified. It shall be unlawful to�ver
any connecting line untii an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
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 occupant or user of such premises shall be liable for all repairs
required to any water li�e and sewer fines necessary for connection of the premises from the main to the premises. If the property owner
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�ecessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service iine from the premises to the main including debris clearing or
root wtting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)