Meter Swap � �
Request Number: 14617
Public Works Division
Service Request
Problem Address: 5360 Sth St Requested By: Michael Anderson
Department: WATER Address: 5360 Sth 5t
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number:
Scheduled Date: 2017-04-18 Scheduled 1�ime: 10:30:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-10 '
' ACTION TAI�N: �
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Status: In Progress Snbmitter Has Been �
Contacted
Date Completed: Completed byc
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City of Fridley �� ���)
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary 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 iMerior
piumbing. (Per City cade 402.06) I also hold tfie City ofi Fridley and/"Ks employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to vahres,qiping,wat4s,floors or the wrb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN6(old meter) � � I � � g 4
Neme: ��L\� ���� Address � J�� �� � `
Phone Number Date ���� `�
Signature Witness Signature
OLD METER# � �D �1 � �1 Z�
OLD READING � � � � ���
NEW METER# r��� "'��
NEW READING
ERT# � ��� � � ��
FEtIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION ��
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water af sewer line connecting the existing municipal system and any house or building for whid�the
application is made,the owner or wntractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection fias been made,the Water and Sewer Department shall be notified. it shall be unlawful to cover
any wnneding line until an inspection has been made and such connection and the work incident thereto has been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb 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 appliczr�t,owner,or ocwpant or user of wch premises sfiall be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property�rner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenanc�and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility aF the appllcant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includir�debris dearing or
root cutting and to maintain the water service curb stop box fur operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)