Meter Swap �
`r Request Number: 14975
Public works Division
Service Request
Problem Address: 5108 Hughes Ave Requested By: Sandi McDonald
Department: WA1ER Addreas: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-458-3604
Schednled Date: 7-04-28 Schednled 1ime: 11:00:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-26
ACIION TAI�N•
Statns: In Progress Snbmitter Has Been r,
ContActed
Date Completed: Com�eted by:
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City of Fridley �� 1..�., �� ,/
Water Department "�'}� �Y
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the C'ity 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
plumbFng. (Per City code 402.06) I also bold the Ciiy of Fridley and/tts employees harmless for any damages that may oaur while dotng thls
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ` �� O�
Name: `��,y V�/� �C��Y1,6..�a Address v 1� d� /'�w
Phone Number���" `u �^��te �L � �^�� �
Signature Nf'�tness Signature -
OLD METER# � �!�O� ��
OLD READING_�`�.� I V�v
NEW METER# ` 1� ('✓�� '
NEW READtNG O
ERT# � � f/�� tl 1
FRtDLEY CtTY CODE
CHAPTER 402.WATER.STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(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 buildtr�for which the
application is made,the owner or contractor shall be required to obtain 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 Depattmerrt shall be notified. It shall be unlawful to cover
any connecting line umi!an irtspedion has been made and such connectio�and the work incident thereto has been approved b�r 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 service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user ot such premises shall be liabk 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 properly owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mair�tenance aod/or
repairs,including necessary street repairs at a rate set annual(y by an administrative policy. It shafl be the responsibility of the appiicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop box for operabil'�ty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)