Meter Swap � , Request Number: 12817
Public Works Division
Service Request
Problem Addresa: 6574 University Ave Requested By: Angela-Break'Ihru Home Care�nc
Department: WA'IER Address: No address provided
Problem/Issne: INSTALL AMR METER Pho�Number: 763-502-1505
Seheduled l�t�— 201?-01-17 Sc6ed�ied 1lme: 01:00:00
�V'`�.] � �� 4 .
d
AC7iON NEEDED:
Crented by: Wendy Hi�tt Date Craited: 201?-01-1U
ACTION TAI�N:
�5 I� l�
Stntua: In Progress �bmitter I�Been �.,
Co�acted
Dste Completed Cempleted by: � _
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City of Fridle � � � �� �
Y 5
Water Department l�o�—
6431 UniversityAvenue NE �g�L�
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Fridley, MN 55432
763-572-3566
I/we hereby authorize the City of Fridley 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 line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inciude,but not limited to valves,piping,walis,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.
FINAL METER READING old meter ��� � " �
� �
Name:�_ �� Address �V 1 V��V"L�V� ��
Phone Num r � ^ � Date �� � '— , �
�ignatur Witness Signature
OLD METER#_� �J � I � � �
OLD READING --�cS�2 D ��
NEW METER# �� 1 1 �� � `
NEW READING lJ
ERT# I� � �
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 constructing or repair of any water of sewer line wnnecting the existing municipal system and arry house or butlding 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 shall be unlawful to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approwed by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water servite curb stop box or the sewer lead at the property line or a water service 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. if the property owner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the�sts of the mai�enance and/or
repairs,including necessary street repairs at a rate set annuaNy by an administrative poliry. It shall be the responsibit'�ty vf the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the maio induding debris clearing or
root cutti�g and to maintain the water service curb stop box for operabi{ity and at sucfi height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)