Meter Swap � "' Request Number: 14800
Public Works Division
Service Request
Problem Addreas: 5255 Capitol St Requested By: David Mattila
Department: WATER Address: No adckess provided
Problem/Iss�u: INSTALL AMR METER Phone Number: 5?1-2326
Sc6edulcd D�e: 2017-04-21 Sc6edn#ed Tlme: 11:30:QQ
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AC7ION NEEUED:
C�e�ted by: Wendy Hiatt Date Cresited: 2017-04-19
ACTION TAi�N•
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Status: In Progress Snbmitter Has Been r
Co�tacted
Dxte Com�eted: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/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{ine from the main to the premise and ali interior
plumbing. (Per City code 402.06) 1 atso hold the C'�ty of Fridley and/its employees harmless for any damages that may ocaur while doing this
operation. This to indude,but not iimited to valves,piping,walis,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.
F1NAL METER READING(oid meter) J�� ����
Name:�� 1 ���► {1 v�-- Address �� � � �'T �� ��
Phone Number ,>� �� � J (1�" Date �l,��`r 1�
Signature Wit�ess Signature
OLD METER# `� ���U��
OLD READING ��� � -1 � O
NEW METER# � ` v`-' �✓ � � �
NEW READING_�
ERT# � �22'��� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1i56,1191)
402.5 PERMIT FEE
Prior ta constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for whkh the
application is made,the owner or contractor shail be required to obtai�a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be nottfied. It shall be u�lawful to cover
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the C�iy as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the inttial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead fias
been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shali be iiable for ail repairs
required to any water line and sewer lines necessary for connection oi the premises from the main to the premises. ff the propecty owner
requests mais�tenance service or repairs be perFormed by the City,the property owner shall be charged for the casts af the maiMenance and/or
repairs,including necessary street repairs at a rate set annuatly by an administrative poliry. It shall be the responsibillty of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main i�duding debrts dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure tfiat it remains above the finished
grade of the land or property. (Ref 638.1156,1191)