Meter Swap � ,
Request Number: 14755
Public Works Division
Service Request
Problem Addresa: 5479 Altura Rd Requested By: Ashley
Department: WAZER Address: No ad�ess provided
Problero/Issue: INSTALL AMR METER Phone Number: 612-210-9109
Schednled Dste: 2017-04-20 Scheduled 11me: 08:00:0�
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ACIION NEEDED:
Created by: Wendy Hiatt llnte Created: 2017-04-18
ACITON TAI�N:
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Status: In Progress Submitter Has Beea r.
Contacted
Date Compteted: Completed by:
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City of Fridley
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 iriterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its 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 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• � Address � ` '� KJ'��'
Phone Number � F�'���V�` - �,,1 �✓ J Date � ��� ^ 1 1
Signature � �tness Signature
OLD METER# ,U ����
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OLD READING "►��-I �� �.J ` S h O ��� �, Q"�-P/� �`���.�
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NEW METER# � ' `
NEW READING l�
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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 construding or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or coMractor shall be required to obtain a permit for such connection,and shall pay a permFt fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. 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 City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water servke Iead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for ali repalrs
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 o�f the maiirtenance and/or
repairs,including necessary street repairs at a rate set annually by en administrative poliry. it shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service wrb 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)