Meter Swap ..
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Request Number: 14774
Public Works Division
Service Request
Problem Address: 173 Gibraltar Rd Requested By: Patty Boe
Depsrtment: WATER Address: No address provided
ProWem/Issue: INSTALL AMR METER Phoae Nnmber: 651-387-1270
Scheduled Date: 2017-04-24 Se6e�uled 1lmc: 09:OU:00
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Created by: B�th Kos�ick Ihte Created: 201'7-04-18
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Status: In Progr�ss Submitter Has Been r
Centacted
Date Completed: Completed by:
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City of Fridley S� -� �j�j''Z
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is neassary to
replace the water meter. !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 any damages that may occur while dang this
operatio�. This to include,but not limited to vafves,piping,wails,floors or the curb stop box and service line. in understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � `� � `� �
Name• �a' � Address � l � "� '� �Y��1�
Phone Number ��1� C, V�r ��r^9i1te � ��� — Y�
Signature YVFtness Signature
OLD METER# �W� � � l�
OLD READING � `t � � �
NEW METER# � '"�I� ) �7 1�� 1
NEW READING 4
ERT# � Z�Z���`-'
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SANiTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for whith the
application is made,the owner or contractor shall be required to obtain a permit for wch�nnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the CPty as a
proper and suitable connection.
402.06 REPAfRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water s�rvice curb stop box or the sewer lead at the property line or a water sewice tead has
been extended to the property line for wnnedion,the applica�,owner,or occupant or user of such premises shall be liable 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 property owner
requesu maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root wtting and to maintain the water service curb stop box for operability and at such height as will ensur,e that it remai�s above the�nished
grade of the land or property. (Ref 638,1156,1191)