Meter Swap ,.
� Request Number: 14824
Public works Division
Service Request
Problem Address: 5445 Horiwn Dr Requested By: Natasha
Department: WA1ER Address: No address provided
Problem/Lcsue: INSTALL AMR METER Phone Number: 612-225-7783
SchedW�e_d Dat • 2017-0 -27 � SchedWed'llmc: 02:00:00
� �1
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-20
ACIION TAI�N:
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Status: In Prog�ess Sobmitter Has Been r,
Contacted
D�tte Completed: Compteted 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 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 a111nterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocp�r while dang this
operation. This to include,but not limked to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if oecessary.
FINAL METER READING(old meter)_ �� � ���O
Name:_Y����r � Address �—V_( � ��`Z01�1 /�
Phone Number����il/�����✓Date_ � ��� Y�
Signature Witness Signature
OLD METER# �� ' ���� I
OLD READING � '"1 I��SLJ
NEW METER# '�'i - 1� � I�� �
NEW READING �
ERT# � L��� 1 �
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 building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for wch wnnection,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 a�inspection has been made and such connection and the work incident thereto has been approved by the Cty 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 property line or a water service kad has
been extended to the property line for connection,the applicaM,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. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance 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 standaM maintenance of the sewer service line from the premises to the main induding 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)