Meter Swap ti
tic
Request Number: 15063
Public works Division
Service Request
Problem Address: 5387 Altura Rd Requested By: Travis
Department; WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Plrone Number: 763-300-4723
Scheduled te• 2017-OS-03 SchedWedllme: 07:30:00
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ACITON NEEDED:
�"` Created by: Wendy Hiatt Date Created: 2017-OS-01
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� ACTION TAI�N:
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Status: In Progress 5nbmitter Hss Been r,
ContActed
Date Completed: C� 2 _ '� 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. 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) 1 also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any wor�c,if necessary.
FINAL METER READING(old meter) ������
Name• ��� �� Address_ � �(J [ ��'�'1/�;� �_
Phone Number ���"��C,J `�j lQ�� Date �� � ^ v !
Signature Witness Signature
OLDMETER#_ �" ����+�uCJ
OLD READING � `' �`� ���
NEW METER#_ ���O ���
NEW READING D
ERT# ��������
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FRIDIEY 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 arry water of sewer line connecting the existing municipal system and ar�y house or buiWing for whid�the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provtded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be uniawful to cover
any connecting line urrtil an inspection has been made and such connedion 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 initial connection has been made to the water service curb stop box or the sewer lead at the property flne or a water service lead has
been extended to the property line for connection,the applicant,owner,or ocwpant 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. 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 mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. it shall be the responsibility of the applicant,
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 curb stop box for operability and at such height as will ensure that it remains above the tinished
grade of the land or property. (Ref 638,1156,1191)
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