Meter Swap � ^' Request Number: 14687
Public Works Division
Service Request
Problem Address: 5348 Altura Rd Requested By: Frank
Department: WATER Address: No address�ovided
- Problem/Issue: INSTALL AMR METER Phone Number:
„Scheduled Date: 2017-04-20 Scheduled'Iime: 10:30:00
rs � �
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-14
ACTION TAI�N:
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Status: In Progress Sabmitter Has Been C
Contacted
Date Completed: �� � f\� �—7 Completed by: C ���
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� � �' City of FridleY S �� �j� �Cj
Water Departrnent
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. 1 understand that the property owner is liable for the water line from the main to the premise and ali iMerior
plumbing. (Per City rnde 402.06) I also ho�d the City of Fridley and/its employees harmless for arry damages that may occur while dang this
operation. This to include,twt not limited to valves,piping,walis,floors or the cvrb stop box and service line. tn understand I am also required
to'obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ✓ �o
Name: � \l�` �,�F-- Address �� l � 1""c�I��IJ< </L �i7 �
Pkone Number
� o� '��-- �v — 1�i
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Signature Witness Signature r
OLD METER#__I�CLL�!_�
OLD READING ��0 ` v/��
NEW METER# �9 a v 8 3 � �.
NEW READING � �
ERT# � aaa33w ►
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 arry water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or co�rector 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 shall be notified. It shall be unlawful to cover
any connecting line urrtil 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 initia(connection has been made to the water service curb stop box or the sewer lead at the property line or a water seroice lead has
been extended to the property line for connedion,the appiicant,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 main to the premises. ff the property owner
requests maintenance senrice or repairs be performed by the C'ity,the property owner shall be charged for the costs of the maintenance ar�d/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service�ine from the premises to the main including deb�is ciearing 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)