Meter Swap � Request Number: 14519
Public works Division
Service Req�st
Problem Address: 5336 Sth St Requested By: Je�ifer Ruis
Department: WATER Address: No address provided
Problem/Iasue: INSTALL AMR METER Phone Number: 763-229-9174
Scheduled Date: 2017- -11 Scheduled'Ilme: 07:30:00
' V , �
ACTION NEEDED:
Crented by: Wend}+Hi�t Date Created: 2017-04-OS
AC7ION TAI�N:
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Status: In Progress Submitter H�Been r,
Contacted
Date Completed: Completed by:
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� . City of Fridley �� �,���ij
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the�ty 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 intcrior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ouur while doing this
operation. 7his to i�clude,but not limited to valves,piping,walls,floors or the wrb 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: c��� �� Address � 3 3 � � �
Phone Number� ��� ��- Yr� ��� Date �"� l " ��
Signature Witness Signature
OLD METER# � � E� ����7
OLD READiNG � �����
NEW METER# `� ` �� - t �� �
NEW READING �
ERT# �2Z22`'�S $
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,iZ44,1256,1191)
402.5 PERMIT FEE �
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buildingfor which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After wch connedion has been made,the Water and Sewer Department shall be notified. it shall be unlawful to cover
any connecting 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 connection has been made to the water service curb stop box or the sewer lead at the property line or a water sewice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shatl be liabk for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the C'rty,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It sha(1 be the responsibiUty of the apptic.aM.
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing ar
root cutting and to maintain the water seroice curb stop box for operability and at wch height as wiii enwre that tt remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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