Meter Swap � �
Request Number: 14813
Public Works Division
Service Request
Problem Address: 5378 Altura Rd Requested By: Jim
Department: WATER Address: No address p�ovided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-498-1421
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ScAeduled Dste: 2017-04-25 Schedaled 11me: t 1:30:00
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ACIION NEEDED:
�� ~:�.� `�,>:, Created by: Beth Kornirick Date Created: 2017-04-19
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Status: In Pro�ress Submitter Has Been r,
Co��cted
DateCompleted: �..('� �[ � �� Completedby: ``""�G
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City of Fridley � � 3(�/ (�
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/we 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 intsrior
piumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur while dang 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
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to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � "�v""��O
Name•_.1��/�, Address _ ��.J ` � ���1`^�'� `�. � -
Phone Number `��� � t�� '���� Date_ "~ �� ��
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Sigrtature Witness Signature
OLD METER# �� 1 �� � /
OLD READING ��� ���
NEW METER# ��d�� ����
NEW READING �
ERT#_ ��cl•�d ��� �
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 wnstructing or repair of any water of sewer line connecting the existing municipa(system and any house or building fo�whkh the
application is made,the owner or corrtractor shall be required to obtain a permit for such�nnection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. it shall 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�ty 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�rvice lead has
been extended to the property line for wnnection,the applicaM,owner,or occupant or user of such premises shall be Itable for alt repairs
required ta any water line and sewer lines netessary for connection af the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibiltty of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includtng delxis dearing 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�