Meter Swap � �, Request Number: 14682
Public Works Division
Service Request
Problem Address: 112 Horizon Circle Requested By: Joan
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-1018
Scheduled Date: 2017-04-21 Scheduled'ISme: 01:00:00
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ACITON NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-14
ACTION TAI�N:
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Status: 1n Progress Subrtutter Has Been �, �
Contacted �
Date Completed: � Completed by: �R� �
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� , ti City of Fridley �
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 iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andrts employees harmless for arry damages that may ocwr while doing tl�is
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,�f necessary.
FtNAL METER READIAl6(old meter) ���'���v
Name: J�Cf�YI Address__��v� T 1����-Q� ��r�r�
Phone Number ���� � I�+ ' lv �� p� �.'—" p�'I `'' � �
Signature Witness Signature
� OLD METER# ������� �
OLD READING 4�`� �W
IVEW METER# � �"-" � � ` �
NEW READING �
ERT# ���� J� ` �
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 municipai system and arry house or building for which the
application is made,the owner or contractor shall be required to obtatn a permit for such connection,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 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 senrice kad has
been extended to the property line for connection,the applicarrt,owner,or occupairt or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests maintenance senrice or repairs be performed by the City,the property owner shali 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 responsibilifij of the applicant,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to maintain the water service curb stop boz 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)