Meter Swap � Request Number: 14935
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Public Works Division
Service Request
Problem Address: 100 Horiwn Circle Requested By: Pauline Lazson
Department: WATER Address: No address provided
Problem/Issne: INSTALL AMR METER Phone Number: 763-571-3625
Scheduled Da : 2017-OS-03 SchedWed Time: 02:00:00
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" AC7TON NEEDED:
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Created by: Beth Kondrick Date Created: 2017-04-24
ACIION TAKEN:
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, ____._._..._._..____.__.__...__......_.... .__._._.____..___ ._____._ _
Status: In Progress Snbmitter Has Been r
Contacted
Date Comp{eted: �r, � _ '*-� Completed by:
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`• City of Fridley 5�.� 3��j i
't 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. I understand that the property owner is liable for the water line from the main to the premise and atl interior
plumbing. (Per City code 402.06) I also hold the City of Fridiey and/its employees harmless for any damages that may ocwr while dang this
operetion. This to include,but not limited to valves,piping,wails,floors or the curb 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: �(�-l.V��' �-""i �� Address L1/ V �v 1 � `�'�v �' ��:``,
Phone Number �W�`� f I" �`�i�lJ Date ✓ � � � ��
Signature Witness Signature
OLD METER# � F�✓ 1 `V'
OLD READING ���� ��D
NEW METER# � 1�� � I O�
NEW READING �
E�# �aa���,�� 5
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 connecti�g the existing municipal system and any house or buPiding for which the
application is made,the owner or coMractor shail be required to obtain a permit for such�nnection,and shall pay a permit fee as�ovided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be not�ed. It shall be unlawfiil to cover
any connecting line until an inspectio�has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC710N
After the initial connection has been made to the water service curb stop box or the sewer lead at the property Itne or a water service lead has
been extended to the property line for connectio�,the applicarrt,owner,or occupant or user of such premises shall be liabie for all 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 service or repairs be performed by the C'ity,the property owner shall be charged for the costs of the mai�enance 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 standard maintenance 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)