Meter Swap ..,
t Request Number: 14828
Public Works Division
Service Request
Problem.4ddress: 4881 Main St Requested By: Matthew
Department: WATER �ddress: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 572-2111
Schedaled Date: 2017-04-26 � Scheduled Time: 08:30:Q0
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ACIION N�EDED: '
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Created by: Wendy Hiatt D�te Created: 2017-04-20 �+'�` .
ACTION TAI�N:
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Statns: In Progress _ Sabmitter Has Been r
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Date Completed: ��„� y�- _J� Completed by: �1,
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
UWe 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 Itable for the water line from the main to the premise and all iMerior
piumbing. (Per City code 402.06) 1 also hold the Clty of Fridley and/'�employees harmiess for any damages that may occur while da�g this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) c/v_ v �v �"
Name: �'���-w Address �CJ� � `"�� 3� •
Phone Number � i �' ��, � Date �� �' ��
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Signature Witness Signature
OLD METER# ���� ! �� �
OLD READING ����� V�
NEW METER# ` 6�� �d'�3 I ,,,�;� "�
NEW READING �
ERT# `��� � O� i
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 arry house or building for which the
application is made,the owner or contractor 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 Departmerit shali be notified. It shali 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.
402.06 REPAIRS APID MAINTENANCE TO CONNECTION
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 sen�iCe lead has
6een eXtended to the property line for connection,the appficant,owner,or ocwpant 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. ff 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 annualiy by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the mai�inciuding debris ctearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)