Meter Swap x
, ��► Request Number: 15013
Public Works Division
Service Request
Problem Address: 4627 Main St Requested By: Lymaea Ly�ch
Department: WA1ER Address: No ad�ess provided
ProMemfIssue: INSTALL AMR METER Phone Nnmber: 763-273-3281
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�` ,Schedvled Date: 2017-OS-OS Sc6ednle�1lme: 02:00:00 '� �:
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ACTION NEEDED:
' Crented by: Beth Kondrick Date Crerted: 2017-(14-2'7
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Status: In Progess 5nbmitter H�s Beea r
CoMaeted
DAte Completed: � Com�eted try: �� �'��
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t ,� City of Fridley �r���G� (�„\
• Water Departmer�t ��� � �1
6431 University Avenue ME
Fridley,MN 55432
763-572-3566
UWe hereby authorize the Ctty 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 all iMerior
plumbing. (Per�ty code 402.06) t also fiold the City af Fridiey and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floon or the curb stop box ancf senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FiNAL METER READING(old meter) �� ���� �
Name: �y�1� ��, �r1(il L Addreu �,UG a'�,� V�-QLVI� ��
Ph"one Number ��� v ���'�" J�� Date_ �w� r v l.
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Signature Witness Signature
OLD METER# Vf ��
OLD READING �� � �� � 4
NEW METER# - L�0�� J� �
NEW READING v
ERT# _ 6 � � � �� � �U.
FRIDLEY CITY CODE
CHAPTER 402.WATER,ST�3RM WATER AND SANITARY SEWER
ADM{N{STRATION
(Ref Ord No 113,464,565,566,629,638,662,9Z2,988,114�,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer iine connecting the existing munic(pal system and any house or building for whtch the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. tt shall be unlawful to cover
any connecting line untii an inspection has been made and sucfi connection and the work incident thereto has been appro�red by the City as a
proper and suitable connettion.
402.06 REPAIR5 AND 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 wate�senrice lead has
been extended to the property line for con�ection,the appficarrt,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. ff the property owner
requests maintenance senrice or repairs be performed by the City,the property owner shall be c�arged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. 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 main including debris dearing 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)