Meter Swap r�-�
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Request Number: 14513
Public works Division
Service Request
Problem Address: 101 Verrtura Ave Requested By: Sel��s Lih
Depsrtment: WATER Addreas: No a�ress p�ovided
Problem/lssue: INSTALL AMR METER P6one Number: 651-208-4645
Scheduled Date: 2017-04-10 Schednled'Rme: 07:30:00
�nu� �` I 1 -r ,30
ACITON NEEDED:
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, Created by: Beth Kondrick Dnte Created: 2017-04-04
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�ACTION TAI�N: �;�� �
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5ubmitter Hae Been � ,�
Statua:" In Progress Contncted r
Date Completed: �.� tv^L� Completed by: �aL � �
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So � � ��3
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ail iMerior
piumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages Lhat may�r 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 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �� ���
Name• ��' ���� � Address t�t ��1Y�`�...- i�l/u
Phone Number ������U ^��� Date 1� ��v— ��
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Signature Witness Signature
OLD METER# � ��J
OLD READING 1 ✓� � �o
NEW METER# I I ����� `�
NEW READING �
ERT# �P'�� � I��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buildi�for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permR 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 wnnecting line until an inspectio�has been made and such connection and the work incident thereto has been approved by the City as a
� proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service airb stop box or the sewer lead at the property line or a water seroice 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 a�y water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance senrice or repairs be performed by the City,the property owner shail be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appiicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing 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�nished
grade of the land or property. (Ref 638,1156,1191)