Meter Swap �
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Request Number: 14670
Public Works Division
Service Request
Problem Address: 160 Crown Rd Requested By: Greg Chester
Department: WATER Address: 160 Crown Rd
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-1930
Schedul ed Date: 2017-04-19 Schedul ed 15 me: 02:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-13
ACTION TAI�Nc
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: � �, )(�_ � Completed by: t p, I��
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City of Fridley ,S U� � "` �
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�1We hereby authorize the Gty 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 Iine from the main to the premise and all interior
plumbing. (Per�ty code 402.06) I also hotd the City of fridley and/its emptoyees harmless for any damages that may oaur while doing thls
operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop box and service tine. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � i/ -
Name• �Y Address ��vWV`-
Phone Number �0`J' ��1�j`� 1�� Date_ �`v 'r i � �
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Signature Witness Signature
OLD METER#� (/ S
OLD READING � I ��� a�
NEW METER# � i�O � ✓� !
NEW READING �
ERT# ���� ��V�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATlON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair af any water of sewer line connecting the existing municipal system and any house or buildieg for which the
application is made,the owner or contractor shatl be required to obtain a permit for such connedlon,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. k shall be unlawFul to cover
any con�ecting line until an inspedion has been made artd such connection and the work incident thereto has been approved by the�ty 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 properCy li�e or a water senrice lead has
been extended to the property line for connedion,the applicant,owner,or occuparrt or user of such premises shall be Ilable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the properly w�rner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annuatly by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occuparrt or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the la�d or property. (Ref 638,1156,1191)