Meter Swap ,
4 Request Number: 14870
Public works Division
Service Request
Problem Address: 5189 Horiwn Dr Requested By: Kim
Depnrtment: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-8039
Scheduled Dat : 2017-04-27 Schednled 1lme: 10:00:00
l, ^1?` 10 - r�n
ACIYON NEEDED:
G�eated by: Beth Kondrick D�te Created: 2017-04-21
ACIION TAI�N:
__._.._..I.._'_.��!_...._.����
Status: In Progress Snbmitter Has Been r.
Contacted
Date Completed: Completed by:
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� City of Fridley S(� � ��`� `
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
I/we hereby authorize the City of Fridley 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 inte�ior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its empioyees harmless for any damages that may oaur while dotng this
operatiort. Thts to inctude,tsut not limited to valves,piping,walis,floors or the curb stop box and senrice line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter)_ � 1�1 ' � � �
` s- I �q (�n� Dr
Name• � Address
Phone Number ��� V�� uv� 1 Date �"� 1 � ��
Signature � �- Witness Signature
OLD METER# ��� 1 o Z��
OLD READING 2-�f�7 I � ��
NEW METER# � t,.r J �tj � ��
NEW READING_�.1
E�# �l 2222� -��7
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464.565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and any house or lwilding for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connectlon has been made,the Water and Sewer Departmerrt shaN be notified. It shall be uniawfui to cover
any connecting line until 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.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial con�ection has been made to the water service curb stop box or the sewer lead at the property line or a water�ke te�has
been extended to the property line for connection,the appiicant,owner,or occuparrt or user of such premises shall be liable for alf repairs
required to any water line and sewer lines necessary fbr connection of the premises from the main to the premises. If the property owner
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,including necessary street repairs at a rate set annually by an administrative poliry. 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 matn including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)