Meter Swap t �'
� Request Number: 16264
Public works Division
Ser�ice Request `
Problem Address: 6220 Starlite Bl�d Requested By: Morgan
Department: WATER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Nwnber: 763-245-2375
Scheduled Date: 2017-07-10 Schednled'Itme: 08:00:00
� � '
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-06
ACTTON TAI�N:
�.S�f l� � i�
�..� .
Status: In Progress Sabmitter Has Been r
Contacted
Date Completed: Completed by:
Honrs .�" �
� - � 6 - 1�1 ��
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City of Fridley v��
Water Departrnent i vR �t,( g'(J�(Q
6431 University Avenue NE `
Fridley,MN 55432 �b � , /�I��
763-572-3566 �-{�l
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repface the water meter. i understand that the property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) 1 ais�hold the C'�ty of Fridley andrts employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,waiis,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINA4 METER READING(oid meter) Y�����
Name: ` 'a'�••\C�. Address �� vV `-�` '^" �" 1 U��
Phone Number r`��— ���� �J��e � � `� — M�
XSignature Witness Signature
OLD METER# � i_l 7��' ��
OLD READING Vv� � � �O
NEW METER# -`- ' �Sb21
NEW READING O
ERT# �2� , -12"'� �
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 any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such conoection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shafi be notified. It shall be unlawful to cover
any connecting li�e until an inspection has been made and such connection and the work incident thereto has heen approved by the City as a
proper and suitable connection.
402.06 REPAIRS APID MAINTETIAMCE TO CONPiECT10N
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 service lead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be itable 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 properCy 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,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 mairrtenaoce of the sewer service line from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will enwre that it remains above tfie finished
grade of the land or property. (Ref 638,1156,1191)