Meter Swap f
Request Number: 14983
Public works Division
Service Request
Problem Address: 4989 Roman Rd Requested By: Kristin Johnson
Department: WATER Address: No ac�ress provided
Problem/Issue: lA1STALL AMR METER Phone Number: 612-226-9125
Scheduied Date: 2017-OS-OS Sched�led 1lme: 10:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Dsite Created: 2017-04-27
ACITON TAI�N:
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Status: in Prog�eess Submitter Hs Been r
Coet�ted
Da�te Completed: � Completed by:
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City of Fridley ✓O�'` ���
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is neassary to
replace the water meter. 1 understand that the property owner is Itable for the water line from the main to the premise and ali interior
plumbing. {Per City code 402.06j I also hold the�ty of Fridley and/its employees harmless for ar�y damages that may occur 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 i am also required
to obtain a permit prior to any work,if oecessary.
FINAL METER READ NG(old meter) ��`'�� `�
Name: �rY��( Address ��/ ` �
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Phone Number �`�^ � ��1�lil�Date—�J ' l ) '� `�
Signature � / \ Witness Signature_'�----
OLD MEfER# '"������ 1�
OLD READING ` � r��`�
NEW METER# �I � Y O �l "l '"I
NEW READING O
ERT# � ` �I `l ` ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt 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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the tnitiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
bee�extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall be ilabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maiirtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,inciuding 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 seroice line from the premises to the main induding deb�is clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)