Meter Swap L
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Request Number: 14530
Public Works Division
Service Request K
Problem Address: 157 Horizon Circle Requested By: Carl Nyberg •
DepArtment: WAZER Address: No address�ovided
Problem/Iasue: INSTALL AMR METER Phone Nnmber: 572-1008
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ScheduledDxte: 2017-04-26 \ Sic�edaled'Ilme: 10:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-04-OS
ACTION TAI�N:
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StAtus: In Progress ���er Hnt Been �,
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Date Compieted: ���.—�� Compieted by: �a� ��
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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. 1 understand that the property owner is liable for the water line from the main to the premise and ali iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmiess for any damages that may occur whqe doing this
operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� 1�� `'� �
Name: � 1 � 1 '� Address_ �� / v 1V-1 1�'N- 1..0�1 V�
PhoneNumber ��� WV � Date 1��� `� Y�
Signature Witness Signature "
OLD METER# ��������
OLD READING ���� � "�
NEW METER# �� �� ����
PIEW READING �
ERT# ��� ) l � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,98$,1144,1156,1191.)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any hou�or building for which the
application is made,the owner or coMractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. It shall be unlawful to�ver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENAPICE 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 lead has
been extended to the property line for connection,the applicam,owner,or occupar�t or user of such premises shail 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 maiMenance and/or
repairs,including necessary street repairs at a rate set an�ually by an administrative poliry. it shall be the responsibility aF the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inclu�ng debris clearing or
root cutting and to maintain the water senrice 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 638,3156,1191)
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