Meter Swap s
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Request Number: 14787
Pubtic Works Division
Service Request
Problem A,ddress: 149 Pilot A� Requested By: Beth Sandbert
Dep�rtment: WA1ER Address: No address psovided
Problem/S�sue: INSTALL AMR METER P6one Nnmber: 612-600-2803
Schednled 2017-04- Sc6edule�1lme: 09:00:00
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AC'IION NEEDED:
CreAted i�y: Wendy Hiatt Date Crerted: 2017-04-19
ACZION TAKLN:
___.__.___�.._���.1��.______.�'��.�
Status: In Progress ����'r A�s Been r
Co�uted
Date Compteted: Completed by:
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City of Fridley ����2�'j
Water Department �� b
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/we hereby autho�fze the City of Fridley and/or its employees to do what�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 iriteerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing 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) � " � � ���
Name: � v 1�\ �LKI`�`l�i`�.�(,� Address � ` \ �I Id� �
Phone Number fCJV�������� pate ����� ��
Signature Wkness Signature
OLD METER#_ C,b 1 ��lJ � `�I _
OLD READING_ � � �i v�
NEW METER#_� � l�) f����
NEW READING � �`
ERT#_ / �Z�� �� J
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to wnstructing or repair of any water of sewer line connecting the existing municipal system and any 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 permlt fee as�ded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to wver
any connecting line until an inspedion has been made and such connection and the work inddent thereto has been approved by the qty as a
prope�and suitable connedion.
402.06 REPAIRS 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 wster servke lead has
been extended to the property line for connection,the applicarrt,owner,or occupant o�user of wch 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 premi�s. If the property owner
requests maintenance service or repairs be pe�formed 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 annually by an administrative poliry. it shall be the responsibility of the applit�M,
owner,occupant or user to perform standard maintenance of the sewer service line from the premFses to the main induding debris clearing or
root cutting and to maintain the water service wrb 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)