Meter Swap �
` Request Number: 15315
Public Works Division
Service Request
Problem Addresa: 4675 Main St Requested By: Virgil Lundberg
Department: WA1ER Addreaa: No address provided
Problem/Issue: INSTALL,AMR METER PLone Number: S'72-8978
Sc6edWei Dst�e,�.__ 2017-OS-1 � Sc6ednled Tlme: 02:00:�
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ACTION NEEDED:
Created by: We�x�+Hi�t Date Created: 2017-OS-12
ACTION TAi�N:
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Status: In Progress ���er Hm Been �.
Contacted
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City of Fridley � � t C ''13
Water Department 5 ���
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
repiace 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
' piumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop box a�d servke line. In understand i am also required
to obtain a permit prior to any work,if necessary.
�� FINAL METER RE IN � ���� `�
AD G(old meter) �
' Name• " �' 6 ` ��,1 lU t� Address b l.� �� �\'�1�U f� -�� ,
, Phone Number ��� `� v V (� � Date �� �I.IG � � l
Signature Witness Signature
' OLD METER# � C " l�
OLD READING ��4�J �V
NEW METER#�_�/���
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' NEW READING "
', ERT# � � I � �� JI
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 constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for whid�the
, application is made,the owner or contractor shall 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 Departmerrt 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 City as a
', proper and suitabie connection.
I, 402.06 REPAIRS AND MAINTENANCE TO CONNECTION
', After the initiai 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 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 maiMenance and/or
', repairs,including�ecessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility of the applicant,
'� 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 maintain the water service curb stop box for operability and at such height as wPll ensure that it remains above the finished
', grade of the land or property. (Ref 638,1156,1191)
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