Meter Swap Request Number: 14678
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. ' Public works Division
Service Request
Problem Address: 5364 Horizon Dr Requested By: Daniel
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-1021
Scheduled Date: 2017-04- 1 Scheduled 15me: 10:00:00
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ON NEEDED:
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Created by: Beth Kondrick Date Created: 2017-04-13
ACTION T.AI�N:
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Status: In Progress Submitter Has Been C,
Contacted
Date Completed: � ^ � � Completed by: �
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City of Fridley
Water Department C O �-�'' �(�
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, �' 6431 University Avenue NE J �
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. 1 understand that the property owner is liable for the water line from the main to the premise and all ir�terior
piurr�ing. (Per City code 402.06) i also hold the City of Fridiey and/'rts employees harmless for arry damages that may occur while doing this
ope�ation. This to inciude,but not limited to valves,piping,walis,floors or the curb stop box and service line. tn understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter]_ � � ( YL� �
Name•
�`�-I��.11� Address_ ���� �1_ V�—�_� ��
Pkone Numbe� ���f� (��~l,lJ o"f D� �,,''��.4 v �'�
Signature Witness Signature
O�D METER# �� � VQ� t �
OLD READING_�����v
NEW METER# ���b�� 1 �
NEW READING
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FRIDLEY CITY CODE �
CHAPTER 402.WATER,STORM WATER AND SAIYITARY SEWER
ADMINISTRATION ,�
(Ref Ord Plo 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or Ixiilding for which the
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shall pay a permit fee as prorided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be notified. tt 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 City 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 seroice lead has
been extended to the property line for connectio�,the appiicant,owner,or occupant or user of such premises shall be liabie for all repalrs
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 mairrtenance service or repairs be perFormed by the C'ity,the property owner shall be charged for the wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poticy. It shall be the responslbility of t1�e appliair�t,
owner,oaupant or user to perform standard mairitenance of the sewer service line from the premises to the main induding debris clearing 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)