Meter Swap �
Request Number: 14810
Public Works Division
Service Request
Problem Address: 5300 Sth Street NE Requested By: Armondo Maodonado
Department: WA'IER Address: No a�iress provided
Problem/Issue: INSTALL AMR METEI� Phone Number: 763-670-0101
Scheduled Date: 2017-04-24 5chednled 13me: 08:30:00
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ACTION NEEDED:Install AMR Meter
Created by: Jearmie Benson Date Created: 2017-04-19
ACTION TAI�N:
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Status: In Progress Submitter Has Been r..
Coutacted
Date Completed: Completed by:
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City of Fridley C✓C� � �jb ��
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�IWe fiereby authorize the City of Fridley andJor 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 interior
p{umbing. (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,floors or the curb stop box and service line. M understand I am also requirec�;
to obtain a permit prior to any work,if necessary. �I
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FINAL METER READING old t r �� � �� I'�
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Name: ��r� 1'"�p�. dress�`^�� �"�'�` �.-� �I�
Phone Number �(��,"ll/���� Date ��� ����� �i�,
Signature � l�� Witneu Signature �
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OLD METER# �..J`4 0 2a y �
OLD READING ����, � V� �I
NEW METER# ��� � fit�t� ��
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NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER I
ADMINiSTRATION
(Ref Ord No 113,464,565,5fi6,629,638,662,922,988,1144,1156,1191) ''
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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 i;'
appfication is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in '�
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shail be notified. It shall be unlawful to cover Ili
any coneecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a �I'�,
proper and suitable connedion.
402.06 REPAIRS AND MAIPIl'EPIANCE TO CONNECTION
After the initial connection has been made to the water service curb stop hox or the sewer lead at the property fine cr a water service lead has '
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs �''
required to any water line and sewer tines necessary fior connection of the premises from the main to the premises. !f the property awner �;,',
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,includi�g necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,accupant 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 maintain the water service curb stop box for operability and at such height as wili ensure tfiat it remains above the flnished
grade of the land or property. (Ref 638,1156,1191) i i