Meter Swap �,
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Request Number: 14692
Public Works Division
Service Request
Problem Address: 5256 Capitol St Requested By: 'lheodore
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-1780
Scheduled Date: 2017-04-20 5cheduled'ISme: 11:30:00
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ACTION NEEDED: �
Created by: Beth Kondrick Date Created: 2017-04-14
ACITON TAKEN:
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Stat�: In Progress Submitter Has Been C,
Contacted
Date Completed: Completed by:
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City of Fridley s� � � � � I
� . � Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/�e hereby authorize the City of Fridiey a�d/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is IiaWe for the water line from the main to the premise and all imerior
plumbing. (Per City code 402,06) t also hold the City of Fridley and/its employees harmless for arry damages that may�r while doing this
operetion. This to inciude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In undentand I am also required
to obtain a permit priar to any work,if necessary.
FIMAL METER READING(old meterj
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iYame: Address � v�"� �� � �f
Pkone Number ��O r�)'� (�� ���Date_ 1��\J� Y 1
Signature �V Witness Signature
OLD METER# _ ��� J � �
OLD READING_ ��� "1 �
NEW METER#�] I � cS.��� �
NEW READING_ �
ERT# � Z��� ��� �
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 repai�of arry water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor 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 Departmerrc shall be notified. It shall be uniawful to wver
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and suitable connection.
402.06 REPAIRS AND MAiiYTEIYAiYCE TO COPfiVECT10N
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 seroice lead has
been extended to the property line for connection,the applicarit,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 owrner
requests maiMenance service or repairs be performed by the C'�ty,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,inciuding necessary street repairs at a rate set annualiy by an administrative policy. 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 induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)