Meter Swap R.,
�, Request Number: 15163
Public works Division
Service Request
Problem.A�ddress: 5245 Capitol St Requested By: Ms Rajtar
� Department: WA1ER Address: No address p�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-639-8171
Scheduled D�te: 201�-OS-09 5cheduled 1lme: 10:00:00
�
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-OS
ACTION TAI�N:
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,
Status: In Progress Snbmitter Haa Been r,
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
UWe hereby authorize the City of Fridiey 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 irrterior
plumbing. (Per City code 402.06) I aiso hofd the City of Fridley and�is 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 curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FtNAI METER READING(old meter) ���� ��
Name: �� � �W'� Address_ CJ 2�� "" `�✓`�` ��
� Q�(�
Phone Number ���`� ���� T✓ 1 i� Date � � ��
Signature � Witness Signature
OLD METER# � ��t �� c��
OLD READfNG ��v' � �ti.J
NEWMETER# �4 �q � � 1y�
NEW READING �
ERT# � � � � ����
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 existi�g municipal system and arry hous�or buildi�,for which the
application is made,the owner or wntractor shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter ii 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 connectio�and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO COPINECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water s�rvice lead has
been extended to the property line for connection,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. tE the property owner
requests maintenance servlce or repairs be performed by the City,the property owner shall be charged for the wsts of the maintenance and/or
repairs,including necessary street repairs at a rete 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 premisQs to the main inciuding debris clearing or
root cutting and to maintain the water senrice 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)