Meter Swap .
` Request Number: 14844
Public Works Division
Service Request
Problem Address: 5349 Horizon Dr Requested By: Nathaniel
Department: WA1ER Address: No�dress provided
Problem/Issne: INSTALL AMR METER Phone Number: 512-719-0536
Schednled Date: 2017-04-28 Schednled Ttme: 08:30:00
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ACTiON NEEDED:
Crested by: Wendy Hiatt Date Created: 2017-04 21
ACIION T . '
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Status: In Progress Snbmitter Haa Beea �..
Co�rtacted
Date Compteted: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its emp�loyees 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 ir�terior
plumbing, (Per City code 402.06) i also hold the C'�ty of Fridiey andjits empioyees harmless for any damage�that may occur while doing this
operatio�. This to include,but not limited to vafves,piping,wails,floors or the curb stop box and service lir�e. In understand I am also required
to obtain a permit prior to any work,if necessary. I
FfNAL METER READING(old meter) � � � � � �
Name: _1�1�. Q�j�,1 Address �3�°ti r
Phone Number ����� ��� v���ate �������
Signature _ Wkness Signature
OLD METER#� �� Y� �� Oy
OLD READING ���lJ�� �
NEW METER# ��� �� ��
NEW READING Q
ERT# ���` ` �Z�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 191)
402.5 PERMIT FEE
Prior to wnstructing or repair of any water of sewer line connecCing the existing municipal system and any hou e or building for which the
appiication is made,the owner o�contractor shall be required to obtain a permit for such connection,and shal pay a permit fee as provided in
Chapter 11 of this Code. After such con�edion has been made,tfie Water and Sewer Department shall be not' ed. It shall be unlawful to cover
any connecting line until an inspedion has been made and such connection and the work incident thereto has I�een approved by the City as a
proper and suitable connection. I�
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial sonnection has been made to the water service curb stop box or the sewer lead at the properly line or a water senr(ce lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises�!hall be liabie for all repairs
required to arry water line and sewer lines necessary for connection of the premises from the main to the premi�es. If the property ows�er
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the�osts of the maintenance andJor
repairs,including necessary street repairs at a rete set annually by an administretive poliry. It shall be the respa�nsibility of the app{icant,
owner,occupant or user to perform standard maintenance of the sewer service liae from the premises to the m�in inc{udtng debris dearing or
root cutting and to maintatn the water service curb stop box for operability and at such height as will ensure tha'R it remains above the finished
grade of the land or property. (Ref 638,1156,1191) ,
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