Meter Swap t�
` Request Number: 14829
Public works Division
Service Request
Problem Address: 5108 Top�er Ln Requested By: Gary Petetson
Departmeut: WA1ER Address: No address provided
T'roblem/Issue: INSTALL AMR METER Phone Number: 763-571-4696
Schednled Date: 2017-04-25 Scheduled 13me: 11:00:00
� ` `T`
ACIION NEEDED:
Created by: Beth Komhick Ds�te Created: 201'7-04-20
ACTION T .
1�. M'�
Status: 1n Progress Snbmitter Has Been �.
Contxcted
Date Completed: Campleted by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-5723566
�/We hereby authorize the Gty of Fridley and/or its employees to do what ts 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 ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/'rts employees harmless for any damages that may ocar while dang this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_ � `��� (�.�
Name:_I��[�� `�a('_�-�5�1 Address �� f� 1 �X��►r � •
Phone Number � ��� �� �r��ate �,"—�c J � L�
Signature _ Witness Signature__,,
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OLD METER# ����� cJ" ��
OLD READING ��L-� [.-- E� �lJ
NEW METER# �� W����
NEW READIIVG V
ERT# ! �� L-���
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 co�structing or repair of any water of sewer{ine connecting the existing municipai system and any house or buiiding for whl�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 Department shall be notified. It shall be unlawful to cover
any connecting line until an inspedion has been made and wch 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 initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water servtce lead has
been extended to the property line for connection,the applicant,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 service or repairs be performed by the City,the properly owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a�ate set annualty by an administrative poliry. It shall be the responsibil'rty of the applicant,
owner,occupant or user to perform standard maintenance of the sewer servlce line from the premises to the main Pncluding debris ciearing 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
grede of the land or property. (Ref 638,1156,1191)