Meter Swap ,
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Fridley
Request Number: �so�6
Publie Works Division �
Servic� R�qusst
ProMem Addre�: 545?4th St Reqnested By: Debor�!►Hobson
Deportn�e�t: WATER Addree�:
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Problem/iasue: INSTALL AMR METER PLone Nnmber: 572-1032
Scheduidd Date: 2017-05-(}2 �,� Schednled Tfine: 07:30:00
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ACTIUN NEEDED:
Crestad By: Wendy Hiatt Data Cnatwd: 2017-04-28
ACTION TAKEN:
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5tatua: In Progress Submttter Cont�ctetl: f
Date Completed: Completed By:
Honrs:
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- City of Fridley ����� �j�j
Water Department �
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
UWe fiereby authorize the C�ty of Fridiey and/or its empioyees 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
p)umbing. (Per City code 402.06) 1 also hold the City of Fridley and/its empioyees harmless for any damages that may ocwr whtle dotng this
operation. This to include,but not limited to valves,piping,wa{Is,ftoors or the curb stop box and service fine. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � 1 � �O
Name: �_�(��Y` �� p�� Address �LL V ` - !� �
Phone Number� !�� li�� Date �r �� � 1
Signature_� �tness Signature
OLD METER# � J � `�-��i �!1
OLD READING C��I 2q �1 �D
NEW METER# �� YV � � �I�
NEW READtNG �
E�# � I � f 2�5�2
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,556,629,638,662,92Z,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the exisfing municipal system and any house or building for which the
application is made,the owner or contracto�shall be required to obtain a permit for such connection,and sfiaff 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 nottfied. it shall be unlawful to cover
any wnnecting line until 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 con�ectio�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 the property line for connection,the applicarrt,owner,or occupa�rt or user of such premises shall be IiaWe for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property owner
requests maiMenance 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 annually by an administrative policy. It shall be the responsibility of the applicant,
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 mai�tain the water service curb stop box for operability and at such height as wiii ensure that it remairu above the finished
grade of the land or property. (Ref 638,1156,1191)