Meter Swap �
� Request Number: 14823
Public Works Division
Service Request
Problem Address: 5468 Altura Rd Requested By: Leonard Kbs
Department: WATER Address: No address provi�d
Probl em/Lssue: INSTALL AMR METER P6one Number: 572-9594
Schedaled Date: 2017-04-2 Scheduled TYme: 01:00:00
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ACTION NEEDED:
Crea►te�,by: Wendy Hiatt Date Created: 2017-04-20
ACTiON TAI�N:
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Status: In Progress Submftter Has Been r �
Contacted �s
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Date Completed: � ���� I� Completed by: \a�i �"
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the Gty 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 all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley andrts 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 wrb stop box and service line. in understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) " � �� ""
Name: �� ��Q,�"' �� Address �� W� 1 �/ �/l � `
Phone Number U r 0�` �v �� Date t� ��� ��
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Signature Wkness Signature
OLD METER# � � � l I � t I
OLD READING o�-�v� � ./ �
NEW METER# �19�.� �3� �
NEW READING �
ERT# �� ������
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�epair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner o�cor�tractor 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 shail be notified. ft shali be unlawful to cover
any connecting 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 witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has bee�made to the water senrice curb stop box or the sewer lead at the property line or a water servi�lead has
been extended to the property line for wnnection,the applicant,owner,or occupar�t or user of wch premises shall be Ifabk 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 service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,includi�g necessary street repaics at a rate set annuatty by an administrative poliry. It shall be the responsibility of the appliwM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the maio induding debris clearing or
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)