Meter Swap z
Request Number: 14791
Pubhc works Division
Service Request
Problem Addreas: 5407 Altura Rd Requested By: Brian
Departmeut: WATER Addresa: No address provided
Problem/Issue: IN5TALL AMR METER Phone Number: 763-453-2684
Scheduled Date: 2017-04-24 Sche�nled 1tme: 11:OO:OU
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ACITON NEEDED:
Created by: Wendy Hi�t Ihte Created: 2017-04-19
ACTION TAI�N:
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Ststus: In Progress Submitter HAs Been �...
Contacted
Date Completed: Completed by:
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City of Fridley Sa }}-� �� (� O
Water Department
6431 University Avenue NE
,` Fridley,MN 55432
163-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I urnlerstand that the property owner is liable for the water line from the main to the premise and all interPor
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/'ns employees harmless for any damages that may oowr white doing 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
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��� �
Name: IiW���Y�. Address t���,�, �1�'�s.f�• �
.
Phone Number ���`'�1 V cJ'��Date ��Z���
Signature Witness Signature
OLD METER# �J v � D�� 1
OLD READING O—1 �� l�,�
NEW METER# �� W � L��
NEW READING_�
E�# � 222'I.-��k�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or wntractor shail be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departme�t shall be not�ed. It shaN be un{awt'ui to cover
any connecting line until an inspedion has been made and such connection and the work incident thereto has been approved by the Crty as a
proper and suitab{e 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 Itne or a water servke lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shal!be liable for all repairs
required to any water line and sewer lines necessary for connedion 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,intluding necessary street repairs at a rate set annually by an administrative policy. It shall be the respoosibil'�ty of the applicant,
owner,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main including debris clearing or
soot cutting and to mairitain the water service curb stop box for operability and at such height as wili ensure that it rcmains above the finished
grade of the land or property. (Ref 638,1156,1191�