Meter Swap � �
Request Number: 14812
rublic works niv;sion
Service Request
� Problem Address: 5465 Altura Rd Requested By: Robin Rice
Department: WA1ER Address: No address provided �
Problem/Issue: INSTALL AMR METER Phone Number: 612-501-5432
Schedaled Date: 2017-04-24 Schedeled'Rme: 08:00:4()
��n � r �:
�, ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-19
ACTION TAKEN:
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Status: In Progress Submitter Has Been r,
CoMacted
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llate Compl eted: � ._a,�_ t`�] Completed by: ` ���
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City of Fridley � � "'�'��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�1WQ hereby authorize tfie City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali irrterior
plumbing. (Per City code 402.06) 1 atso hold the City of Fridley and/its employees harmless for any damages that may ocsur while doing this
operation. This to intiude,but not fimited to valves.ptping,walis,floors or the curb stop box and service 11ne. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �Ov V " O
Name: �J��� 1�—�` �-'l� Address J uG � ������ •
Pfione Number "`��^ �O�~����` Date � � � ��
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Signature Witness Signature
OLD METER#__�V �) � � v✓�
OLD READING �7V�C�d`-f/�
NEW METER# 1 KJ`� �0���
NEW READING �
ERT# ���a�� 9a
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANl7ARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line conneding the existing municipal system and any house or buiiding for which tbe
applicatioo is made,the owner or contractor shaii be required to obtain a permit for wch connection,and shalf pay a permlt fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be notified. It shail be unlawful W cover
any connecting line until an inspection has been made and such connedion and the work incident thereto has been appro�red bY the City as a
proper and suitable co�nection.
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 servke lead has
been extended to the property line for co�nection,the applicant,owner,or occupant 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 maln to the premises. If the property awner
requests maintenance service or repairs be perFormed by the City,the property owner shall 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 applicarrt,
owner,occupant or user to perform standard maintena�ce of the sewer service line from the premises to the mai�includtng deM�is dearing or
�oot cutting and to maintain the water service curb stop box for operability and at such fieight as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)