Meter Swap , Request Number: 15128
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Public Works Division
Service Request r
Problem Addreas: 5320 4th 5t Requested By: Ruth w/I,egacy Homes
Department: WA1ER Addreas: No address provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 763-450-1788
Schedul Date: 2017-OS-08 Schednled Time: 11:00:00
ACZION NEEDED: �
Created by: We�y Hiatt Date Created: 2017-OS-03
ACTION TAKEN:
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Status: In Progress Submitter Has Been C
CoM�acted
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Date Completed: Completed by:
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' City of Fridley �-t� ��v`�
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Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridiey 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 all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while dang this
operation. This to include,but not limited to valves,piping,walls,tloors or the curb stop box and service line. In understand I am also requtred
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �Q ���O
Name: �� Address �� l�� �� �
� ^ ���Date�.l ^ b�
Phone Number�p� �
Signature Wit�ss Signature
OLD METER# ����� Y�
OLD READING �"t O 3 2�CC� j�
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NEW METER �
NEW READ �../
ERT#
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER ANO SANITARY SEWER
ADMfNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to construding 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 coMractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii 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 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 property line or a water service lead has
been extended to tfie property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premtses. If the property awne�
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 necessary street repairs at a rate set aanually by an administrative poliry. It shall be the responsibility af the 8pplicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrtain the water senrice 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)
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