Meter Swap � �
Request Number: 14819
Public works Division
Service Request
Problem Address: 5144 Horiwn Dr Requested By: Brian Overton
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phoae Number: 612-599-6132
Scheduled Date: 2017-04-25 Schedoled 1lme: 10:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-20
ACTION TAI�N:
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Status: 1n Progress Snbmitter Hna Been r
Contacted
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Date Completed: Completed by:
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City of Fridley � � '?J��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authortze the City of Fridley and/or its employees to do what ts necessary to
replace the water meter. I understand that the properly owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06j 1 also hold the City of Fridtey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,ptping,walis,floors or the wrb stop box and service line. In understand 1 am also required
to obtain a permit p�ior to any work,if necessary.
FINAL METER READING(old meter) ��� � "—'y
Name: i��1 JR.1(�, OU�'�;� Address Y' l 1�
Phone Number 1U�Z�✓-1����� Date���� { �
Signature Witness Signature
OLD METER# ' � �� bo� �
OLD READING ��� � �D
NEW METER# � " � (�J U���
NEW READING V
ERT# �l 2ZZ 3 � °f y
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 any water of sewer line connecting the existing municipal system and any house or�ilding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shali pay a permR fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. It shali be unlawful to cover
any connecti�g line until an inspection has been made and such connection and the work incident thereto has been approved by the Crty as a
proper and witable 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 wster servke lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shali be liable for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be performed by the C'rty,the property owner shall be charged for the costs of the mair�tenance and/or
repair;,includi�g 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 main induding debris clearing or
root cutting and to mairrtain the water service wrb stop box for operability and at wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)