Meter Swap � �
Request Number: 15211
Public Works I�vision
Service Request
Problem Address: 124 Crown Rd Requested By: Coral
Deputment: WA1ER Addresa: No addreas prdvided
:t ProblemlIsaue: INSTALL AMR METER Phoee Namber: 612-964-7060
5cheduled Uate: 2017-QS-20 Schednitd 11me: 08:30:00
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ACIION NEEDED:
Created by: Wendy Hi�t Date Created: 2U1?-OS-08
ACTiON TAI�N:
Status: In Progress ���er H�Bea� �.
CoMacted
D�te Completed: Completed by:
i
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CityofFridley ��s.� ���'�7� �0�
Water Department �
6431 University Avenue NE ��� �� I„ �
Fridley,MN 55432
Y�
763-572-3566
�/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 liabie for the water line from the main to the premise and a!I ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may otwr while doing ihis
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and service fine. In understand I am also requlred
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterJ �� . `��
Name��, Address �Z 1 �..1 C�JIr.1h 1�• �
Phone Numbe� �� p�e�+��`�
Signature W'rtness Signature �.=,'�
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OLD METER#�����"'��
�JLD READING . �� -- --�
; NEW METER# � � ��
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' �49�Z25973 � I
NEW READING �------- ---
-'-- _
ERT#� III IIII�11141441111 E�
1 1 �� 72355104 J
� FRIDLEY CITY CODE ..�.
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer{ine wnnecting the existing municipal system and any hause or buPidir�for which the
application is made,the owner or corrtractor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewe�Department shatl be notified. It shal{be unlawlui to cover
any connecting li�e until 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 REPAIRE AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or tfie sewer lead at the property tine or a water service lead has
',���►een extended to the proQerty line for connection,the applicarrt,owner,or occupant or user of such premises shall be liable for all repairs
requirec)to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owne�
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andjor
repairs,inctuding necessary street repairs at a rete set annually by an administrative poliry. It shall be the responsibility of tbe appticarit,
owner,;sp�cupant or user to perform standard maintenance of the sewer service fine from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,115b,1191j