Meter Swap � '' Request Number: 15197
Public Works Division
Service Request
Problem Address: 4715 Main St Requested By: Julie Noneen
Depnrtmeut: WATER Addreas: No addreas ptovided
Problem/Iesue: INSTALL AMR METER Phone Numt►er: 651-226-1576
ScLeduled e: 201�-05-10 � Sci�ednied T1me: @2:00:00
D
ACTiON NEEDED:
Created by: Wendy Hiatt Date Crerted: 201 T-OS-08
ACTION TAKEN: �
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Status: In Progress ���er Hae Been �,
Co�acted
Date Completed: Com�eted by:
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t t City of Fridley C 0 ,� //���
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6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
il we hereby authorize the City 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 afl interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley aod/its employees harmless for any damages tfiat may occur while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service tine. in undersCand 1 am also required
to obtain a permit prior to any work.tf necessary.
�2� 2�O
FINAL METER READING(old meterJ �
Name: � � �Y� �v� 'C_�� Address �� y� U— 1,(.t�11(�. �J,
Phone Number ���'�'��r t�J /�e U� y�— V�
Signature Witness Signature �
OLD METER# �J�� �I��O
OLD READING �2� 2� �
NEW METER# "'1� �D- 4��O �`V
NEW READING�
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FRIDLEY CITY CODE
CHAPTER 402.WATER,ST�RM WATER AND SANITARY SEWER
ADMINfSTRATiON
(Ref Ord No 113,46�t,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer Itne connecting the existing municipai system and any house or butlding for whkh the
application is made,the owner or corrtraetor 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 DepartmeM 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 witable connection.
402.d6 REPAIRS APID MJ4INTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property liae or a water servks Iead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shatl be liable for all repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the p�operly owner shal!be charged for the costs of the maintenance andjor
repairs,including necessary street repairs at a rete set an�ually by an administrative qotiry. It shall be tfie responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operabifity and at such height as will ensure that it remains above the finished
grade of the land or property/. (Ref 638,1156,1191)