Meter Swap _� �
Request Number: 14684
Public Works Division
Service Request
Problem Address: 5036 Hughes A�e NE Requested By: Abby Meyer
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-343-4143
Scheduled Date: 2017-04-17 Schedul ed'Iime: 08:30:00
�' I . 3d
ACTION NEEDED:Install AMR Meter
Created by: Jeazmie Benson Date Created: 2017-04-14
ACTION TAI�N: � �
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by:
Hours � �� �
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City of Fridley S� �3��"�
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. I understand that the property owner is tiable for the water line from the main to the premise and all interior
piumbing. (Per C�ty code 402.06) I aiso hold the City of Fridley and/'Ks employees harmless for any damages that may occur while doing this
operation. This to inciude,but not limited to vaives,piping,walis,floors or the arb stop 6ox and service ti�e. in understand 1 am afso required
io obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) 1 � �� �� V
Name: � aCJ�"�+ _ Address �V�� � i"N`�
Phone Number � r � � Date _�'_Ir L�� ��
Signature Witness Signalvre
OLD METER# �[J� ` 1 `� � ��
OLD READING � � �L� ��O
NEW METER#�� 4c/ I 1 �
NEW READING �
ERT# � ��� c�V J 1
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISfRAT10N
(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 building for which t�he
appiication is made,the owner or corrtractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as pr�ided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. it shall be unlawful to co�rer
any conneding line urrtil an inspection has been made and such connection and the work incident thereto has been approved bY the C(ty as a
prope�and suitable connection.
402.06 REPAIRS AND MAIPITENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop boz or the sewer lead at the property line or a water se�lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall 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. If the property�rner
requests maintenance service or repairs be performed by the Cityr,the property owner shall be charged for the costs of the mairrtenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. tt shall be the responsibility of the appliprrt,
owner,occupant or user to perform standard mainte�ance 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 fintshed
grade of the land or property. (Ref 638,1156,1191)