Meter Swap � ' Request Number: 15067
Public Works Division
Service Request
Problem Address: 5261 Horizon Dr Requested By: Elaine
Department: WA'IER Address: No address provi�d
ProblemJlssue: INSTALL AMR METER Phone Namber: 763-443-2014
Scheduled Date: 2017-OS•04 Schednled 1lme: 07:00:00
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ACTION NEEDED:
Created by: Wendy Niatt Date Created: 2017-OS-01
ACTION TAI�N:
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Status: In Progress Submitter HAs Been r, :,
Contacted
Date Completeds Complettd by:
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City of Fridley �b �,j, �q "7 2
Water Department �f J
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. 1 understand that the property owner is liable for the water line from the main to the premise and ali interlor
plumbing. {Per City code 402.06) {also hoid the C'�ty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include�but not limited to vaives,piping,walis,�toors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��o ��
Name: � '�-1 V�� Address ���� '�U����. ��
Phone Number _ 1 CJ�"�' �l��'� (JCJ�`"�pate_� ` '� t�
Signature Witness Signature
OLD METER#_���,�� —{�� �j�
OLD READING
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NEW METER# " t p�� r � �y
NEW READING �J
ERT# � � � �J Z� �
FRIDLEY C17Y CODE '
CHAPTER 402.WATER,STORM WATER ANO SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,5fi6,629,638,662,922,988,1144,1156,1191)
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 which the
application is made,the owner or contraccor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. k shal{be unlawfuf to cover
any connecting line untii 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.
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402.06 REPAIRS AND MAINTENANCE TO CONNECT{ON
After the initial connection has been made to the water service curb swp box or the sewer lead at the property line or a water service iead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Itabte for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
reguests maintenance service or repairs be performed by the C'�ty,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 po{iry. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main inctuding debris cfeari�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 land or property, iRef 638,1156,1191)
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