Meter Swap � � Request Number: 14695
Public Works Division
Service Request
Problem Address: 5237 Capitol St Requested By: Larry
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-1565
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SehedW ed Date: 2017-04-19 Schedul ed'I➢me: 08:30:00
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ACTTON NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-14
ACTION TAI�N: �.;�n�,`
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Status; In Progress Submitter Has Been C, � .
Contacted
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Date Completed: Completed by: �
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_ � k City of Fridley �� � �j��U
Water Departrnent
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. I understand that the property owner is IiaWe for the water line from the main to the premise and ali irKerior
piumbing. (Per City code 402.06) 1 also hold the C'ity of Fridley and/'rts employees harmless for any damages that may occur while doing�is
operetion. This to include,but not limited to valves,piping,walts,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 MET�1R READING(old meter) �� C�� D�
Name: ��W Address �� �•
' Pkone Number f �` �� I� ��l.(l J Date___ . l -- LC( �" ��� ^
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Signature Witness Signature
OLD METER# �V� �� �.J �
OLD READING_ J � C� � ��
NEW METER# � -I��� �� V
NEW READING �
ERT# ` ��t � , J�`
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Plo 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repatr of any water of sewer line connecting the existing municipal system and arry house or building fo�which the
application is made,the owner or contractor shall be required to obtain a pe�mit for such connection,and shall pay a permit fee�provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. tt shall be unlawful to corer
any conneding line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop boz or the sewer lead at the property line or a water se�rice lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable for all repairs
required to any water li�e and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance senrice or repairs be performed by the C'ity,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including�ecessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility af the applicarrt,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main induding debris ciearing or
root cutting and to maintain the water service curb stop boz for operability and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191j