Meter Swap ..
k Request Number: 16074
Public works Division
Service Request
� Problem Address: 6221 Trimty Dr Requested By: Robin
Department: WA'IER Address: No address provtdcd_
Problem/Issue: INSTALL AMR METER Phone Number: 763-202-2793
Scheduled Dxte: 2017-06-23 �_J Sc�ednled'ITme: 10:30:00
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ACTION NEEDED:
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Created by: Wendy Hiatt Date Cre�ted: 2017-06-21
ACTION TAI�N: -��
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Status: In Progress C��ed Ii�Been r
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City o#Fridley
� Water Department �O� �,� � �
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
��`"�e hereby authorize the�ty of Fridiey 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 Iine from the main to the premise and a!I iMerior
piumbing. (Per Crty code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may oaur while doing this
operation. This to include,but not limited to vaives,piping,walts,floors or the curb stop box and service line. In understand t am also required
to obtain a permit prior to arty work,if necessary.
FINAL METER READIN6(old meterJ (71�� � � �� v
Name: ����V) Address `��� �t �'�,�F �•
Phone Number��"� ` �` � ��� Date _ � ^ ��` ��
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S��^ Witness Signature
OLD NfETER# ��� ' V I J
OLD READING v�/� (� � �V —� ��n'� �� 'l C�� `S ' �r�r
NEW METER# 1 1�� CQ�� I
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NEW READING v
ERT# (. � ���2 � U
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM Y�ATER AND SANRAi�Y SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,fi62,922,988,I144,1156,1191)
402.5 PERMtT FEE
Prior to constructing or repair of a�y water of sewer line connecting the existing municipal system and arry 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 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 shatl 6e untaarful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOIV
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property tine or a water senrice iead has
been extended to the property line for connection,the applicant,owner,or occuparit or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. If the�roperty owner
requests mairrtenance service or repairs be performed 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 annuaily by an administrative policy. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard mairitenance of the sewer senrice line from the premises to the main including debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and et such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)