Meter Swap � n�
Request Number: 14647
Public works Division
Service Request
Problem Address: 148 Crown Rd Requested By: 5ue
Department: WA1ER Address: No address provided
Problem/Issue: Il�STALL AMR METER Phone Number: 763-574-9562
Scheduled Date: 2 17-04-1 S Sc6eduled Time: 08:00:00
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ACTION NEE�: '
Created by: Beth Kondrick Date Created: 2017-04-12
ACTION TAI�N:
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Status: In Progress Submitter Has Been �.,
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Frid{ey,MN 55432
763-5T2-3566
�/We hereby authorize the City of Fridiey and/or its emplayees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all inte�ior
plumbing. (Per City code 402.06) i also hold the C'ity of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permtt prior to any Mrork,if necessary.
FINAL METER READIN6(old meter) �� I � �D
Name• Address `��'�{�- C�L
Phone Number l�� —1~ i�� Date_ �' � ��
Signature ��' Witness Signature
OLD METER# ��� cJ Z�
OLD READING � �-(�-I �1 ��
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NEW METER#
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NEW READING C�
ERT# ������ ' �
FRIDLEY CITY CODE
CHAP'TER 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 wnstructing or repair of any water of sewer line wnnecting the existing municipal system and arry house or building for whkh the
application is made,the owner or wntractor 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 Departmerrt shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such coonection 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 box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicar�t,owner,or occupant or user of such premises shall be Ilable for all repairs
required to any water line and seMrer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applic�rrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing 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 638,1156,1191)