Meter Swap �
� Request Number: 15061
Public works Division
Service Request
Problem Addreas: 5156 Hughes Av�e Requested By: Danielle
Department: WATER Address: No a�ress provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-554-1103
Scheduled Date: 2017-OS-OS 5c6ednled'Rme: 08:30:00
-�' S�` $`�
ACTION NEEDED:
Created by: Wendy Hiatt Dnte Crented: 201'�-OS-Ol
AC'ITON T .
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Status: In Progress Submitter H�Been r,
Co�acted
Date Completed: Completed by:
Honrs
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City of Fridley �—�'I" ����
Water Departrnent
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. 1 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) i also hoid the City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,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 REpDiNG(oid meter) � � �� � `�
q� r n ' �✓ /'
Name:_ .J��x�C/ Address J ��[i
Phone Number� � 1/ ��� ����ate �^ �""� ��
Signature Wk�ss Signature
OLDMETER# �� � 1 �7J��
OlD READ(NG � E� �� � VO
NEW METER# `� f✓ r V �" � �7�
NEW READING �
ERT# � � (� I �v��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAT(ON
(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 twiiding for which the
application is made,the owner or co�tractor shail be required to obtain a permit for such connection,and shall 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 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 Crty 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 properly line or a water senrice lead has
been extertded to the property lirte for connectiort,the applicant,owner,or occupam or user of such premises shal!be liable for aN repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the pmperty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the casts of the mairrtenance and/o�
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarit,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main induding deb�is dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)