Meter Swap a,
? Request Number: 14521
Pablic works Division
Service Request �
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Problem Address: 5420 Altura Rd Requeated By: Mr Bowman
Department: WA'IER Addresa: No address provided
Problemllsaue: INSTALL AMR METER Phone Number: 572-9430
Scheduled Dxte: 2017-04-11 Schednlcd 1lme: 11:30:00
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AC1iON NEEDED:
Crexted by: We�y Hiatt Date Created: 2017-04-OS
ACTION TAl�N:
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Status: In Progress Submitter Has Been �,
Contacted
Date Completed: � �� I��� Completed by: ����
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City of Fridley �� � �S��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/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 iMerior
plumbing. (Per City code 402.06j I atso hotd the City of Fridley and/its employees harmless for any damages that may oaur whAe doing thls
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 work,if necessary.
FINAL METER READING(old meter) D� � � �� O
Name: �"�r� ��ei.�l Address ��L-�� -�'�`�u'� G�-Fi-
Phone Number ��� "� L�V Date_ � ` � � J � !
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Signature Witness Signature
OLD METER# �� 1 � v� �� � ��`�`'' '"["� '
_ 5�'L�y�J�� I �
OLD READING �� �� �� o
NEW METER# � I�v � � � �
NEW READING O
ERT# �a a �.� � gc�
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 any water of sewer line connecting the existing municipal system and"any oh use or buildi�for which the
application is made,the owner or cor�tractor shall be required to obtain a permi�for wch connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water an�`Sewe'r Department shall be not�ed. it shall be unlawful to cover
any connecting line until an inspectio�has been made and such connection and the work inadent thereto has been approwed by the City as a
proper and suitable wnnection. =
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 service 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. 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 maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appli�rrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main tncluding 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 finished
grade of the land or property. (Ref 638,1156,1191)