Meter Swap , � Request Number: 15487
� Public works Division
Service Request
Problem Address: 5133 Hughes Ave Requested By: Mamrie
Department: WATER Address: No address provi�ed
Problem/�ssue: INSTALL AMR METER Phone Number: 763-222-3384
Schedaled Date: 2017-OS-26 Schednled 1lme: 08:00:00
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AC'�ION NELDED:
CreAted by: Wendy Hiatt Date Created: 2U 17-OS-22
ACTION TAI�N: �
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_._._.__.�.-`-����......_........................__�.�_..�........_ _._._.____._
Status: In Progress Snbmitter Haa Been r.
Contacted
Date Completed: Completed by:
�- Z�- 11, � b`�
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City of Fridley �O�� ���O�� v�
Water Departrnent
� � 6431 University Avenue NE �O � �' 3lj
Fridiey,MN 55432 �
763-572-3566
��`"�e hereby authorize the C'ity of Fridley and/or its empioyees 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 ir�terior
plumbing. (Per City code 402.06j i also hotd the City of Fridley and/"ns employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vatves,piping,walis,floors or the curb stop box and senrice line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj ���� � '-""
Name:���1�. Address � �
Phone Number
�CJ V�j2���ate � �� � {� 1
�5��" Witness Signature___
OLD METER# � � � v { W
OLD READING ���` ��
NEW METER# —1-I�� � F ��
NEW READING �
ERT#� I/J��I �Z
FRIDLEY CITY 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 arry house or buiiding for which the
appfication is made,the owner or contractor sha(I be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It sfiall 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 City as a
proper and suitable connection.
�02.06 REPAIRS APID MAUNTENANCE TO CONNEC'1'ION
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 senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabk for all repairs
required to any water line and sewer lines necessary tor connection of the premises from the main to the premFses. If the property owrter
requests maintenance service or repairs be perFormed by the C�ty,the property owner shail be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibil'�ty of the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris cfearing o�
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remaios al�ve the finished
grade of the land or property. (Ref 638.1156,1191�