Meter Swap �
' Request Number: 15265
Public Works Division
Service Request
Problem Address: 5323 4th St Requested By: Larry Nelson
Department: WA1ER Address: No address provi�d
Problem/Iasue: INSTALL AMR METER Phone Number: 572-8166
Scheduled Date: 2017-OS-I 1 � 5chednled 1lme: 10:30:00
' r
ACTION NEEDED:
Created by: WendyHistt Date Cre�ted: 2017-05-10
ACTION TAKEN: �
��,����_.._.._._ �N�_ _........__...____..__ ___
Status: In Progress Submitter Haa Been r.
Contacted
Date Compteted: Completed by:
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y City of Fridley �C ✓�J �
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Water Departrnent ��
6431 University Avenue NE �)�J�
Fridley, MN 55432 U���
763-572-3566
�/We hereby authorize the City of Fridiey and/or its employees to do what is�ecessary to
replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all ir�terior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that rnay ocwr while doirtg ihis
operation. This to include,but not limited to vahres,piping,walls,floors or the curb stop box and service line. I�understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL ME1'ER READING(old meter) �� ' ���+'
Name• �""u(� � V�� Address c� J�� � , •` �
Pho�e Number� + 1/^ �I Date � 1i� � ��
Signature_ V \� Witness Signature
OLD METER# _ ���� ���[�
OLD READlNG ��� � 1 �
I ' Q Q �
NEW METER#_`[ E��O�O U�
NEW READING O
ERT# � �+��� b —1
FRlDLEY 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 shail be required to obtain a permit for such connection,and shail pay a perrnit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. it shall be uo{awful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS APID MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property Iine or a water servi�lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Nable for all repairs
required to any water line and sewer lines necessary for connectlon of the premises from the main to the premises. ff the property oMrner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including�ecessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applPcarit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includir�debris clearing 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
grade of the land or property. (Ref 638,1156,1191)