Meter Swap Request Number: 14843
� Pubfic Works Division
Service Request
Problem Address: 5315 6th St Requested By: Yuri
Department: WATER Address: No a�ress provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-275•4192
Schednled I� te: 2017-04-26 Sc6ednled 13me: 01:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Crexted: 201?-04-20
AGTiON TAI�N:
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Status: In Progress Sabmitter Has Been r .
Contacted
Date Completed: Completed by:
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City of Fridley �lJ� ��) �
• Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/o�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 iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees fiarmless for arry damages that may ocau while dang this
operation. This to include,but not limited to valves,piping,walls,floors or the curb 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:_� Address � U�� �� �
Phone Number C/� V ���v���pate_ ������
Signature � \ / W[tness Signature �
OlD METER# ��C7 i� U �I V
OLD READING ( � ��j��O
NEW METER# �� w f �Z �
NEW READ{NG� ��
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ERT# `� 222 ?,0 �1 �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(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 of sewer line connecting the existing municipal system and a�y house or building for whlch the
application Is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permtt fee as provided in
Chapter il 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 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 REPAittS AND MAINTEPIANCE TO COTINECTIOM
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property line for rnnnection,the applicar�t,owner,or occupant or user of such premises shall be IiaWe for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. {f the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poiiry. It shall be the responsibillty 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 maintain the water service 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)