Meter Swap , '� Request Number: 15192
�
Public Works Division
Service Request
Problem Address: S I80 Hughes Ave Requested By: Re�e Mos�s
�Department: WA1ER Addresa: No address providcd
Pro�em/Issae: INSTALL AMR METER Phone Number: 572-9161
Sc�eduled� 2017-OS-09 � Schedeled Time: 1U:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Ditte Creatcd: 201�-OS-08
A ON T .
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Statua: In Progress Sabmitter Ha�Been �
Co�acted
Date Completed: Completed b�:
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�- � City of Fridley
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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 all iMertor
plumbing. (Per City code 402.06) I also hold the City of Fridley andrts employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. In ur�derstand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)��� [�—v I LJ
Name: ���In��i � W .5 Address V�
Phone Number_��f� �CJ � Date �� � � `
Signature Witness Signature
OLD METER# �a OZ O� y � _
OLD READING ,���,.�—IO
NEW METER#= t� 11J� � - 1 �P
NEW READING 4
ERT# � ( � � _ r���
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 construding or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or coMractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as pro�ded in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notfied. It shall be unlawful to cover
any connecttng line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connection has been made to the water servFce curb stop box or the sewer lead at the property IFne or a water�rvice lead has
been extended to the property line for connection,the applicant,owner,or occupant 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 owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applipnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding deMis dearing 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
grede of the land or property. (Ref 638,1156,1191)