Meter Swap 3
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Request Number: 14666
Public works Division
Service Request
Problem Address: 129 Crown Rd Requested By: Michael
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-237-2898
Scheduled Date: 2017-04-19 SchedWed ZTime: 01:30:00
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ACTION NEEDED:
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Created by: . Beth Kondrick Date Created: 2017-04-13
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ACTION TAKEN:'
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Status: In Progress Submitter Has Been r, =�-
Contacted
Date Completed: 1.-��I�` M Completed by: �a��
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City of Fridley S� � ✓ ���
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridiey and/or its employees 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 interior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harmless for arry damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am alw required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �" ���� �
Name• �{�'`Qi� Address 6�� l�il ��Y ` F-C'!'
Phone Number ��� ^ �� ! ` �vDate V ��"�
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Signature Witness Signature
OtD M�TER# � �� �
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OLD READING �v ��� ��
NEW METER# `-1��d 83� S
NEW READING �
ERT# ��� �O'V�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANtTARY SEWER
ADMINI5TRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constn,�cting or repair of ar�y water of sewer line connecting the existing municipal system and any haise or buildi�for vahkh the
application is rr�ade,the awner or contractor shall be required to obtain a permit for such�nnection,and shall pay a permii fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shail be unlawful to cover
any connecting line untii an inspection has been made and such connection and the woric incident thereto has been approved by the City as a
proper and suitable connection.
402.05 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 servke lead has
been extended to the pro�rty line for connection,the appllcarrt,owner,or oaupant or user of wch premises shall be liable for ail repairs
required to any water iine and sewer lines necessary for connection of the premises from the main to the premises. If the property�rner
requests mairrtenance service or repairs be performed by the City,the property owner shatl be charged for the c�sts of the mair�tenance artd/or
repairs,including necessery street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applia�nt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main indudi�deM�is clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wilt ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191)