Meter Swap i '""'
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Request Number: 14784
Pubtic Works Division
Service Request
Problem Address: 4845 Main St Requested By: Mark Klemme
Department: WATER Address: No address provided
ProMemllssue: IN5TALL AMR METER Phone Number: 763-360-7871
Sc6edaled Date: 2017-0424 Sc6ednled 11me: 02:OQ:00
�. I �l�` ,M
AC?ION NEEDED•
Created lty: Wendy Hiatt Date Createdc 2017-04-19
ACTION TAKEN:
____.._.._..��. _ .�.__�._._ __
5tatns: In Progress Snbmitter Has Been r,
Coutncted
Date Completed:�� ��„��.�� Completed by: �a�
k
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City of Fridley �j � � �� �
Water Department
6431 University Avenue NE
Fridfey,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley andjor its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
pfumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr whife doing this
operation. This to include,but not timited to valves.piptng,walls,floors or the curb stop box and senrice line. in undentand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterJ ��� ���
Name: ���� ����� Address '" 1'V br� Y v 1.1X�i� ��'t" �
Phone Number ��?" �U�V� `(� G l Date � " L v��" �
Signature � Witness Signature —��
OLD METER# ���� ����
OLD READING � �� ���
NEW METER# ` b� � ����
NEW READING C�
ERT# ` d I7'�D��/� ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAR1l SEYVfER
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 extsttng municipal system and any house or building for which the
appiication is made,the owner or contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of thls Code. After such connection has been made,the Water and Sewer Department shall be not�ed. 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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
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 servke{ead has
been extended to the property line for connection,the applicant,owner.or occupant or user of wch premises shall be liable for ati repairs
required to any water line and sewer lines necessary for connection of the premises from tfie 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 mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibiliiy of the applitaM,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main includi�debris dea�ng 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
grade of the land or property. {Ref 638,1156,1191�