Meter Swap � *
Request Number: 14683
Public Works Division
Service Request
Problem Address: 5337 6th 5t Requested By: Chelly
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-695-5840
Schednled Date: 2017-04-20 5chedWed 13me: 07:00:00
v� d � � ,
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-14
ACTION TAI�N:
........................................................-�.5�....����.............................�d��.:.�-_.....__.....__.._._.._....._....................___.�._�_....___.._._..___..._.......__........._.
Status: In Progress Submitter Has Been �,
Contacted
Date Completed: �--Z � — )� Completed by: ����
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City of Fridley �����
Water Departrnent
6431 University Avenue NE
Fridtey,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. i understand that the property ow�er is liable for the water line from the main to the premise and ati iriterlor
piumbing. (Per City code 402.06] I also hold the City af Fridiey and/its employees harmless for any damages that may occ.ur wfii{e doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and servlce line. In understand l am also required
to obtain a permit prior to any wcrk,if necessary.
FINAL METER READING(old meter) � W��� v
IVame: �►l"� �'y Address_ �� J / �� ��- •
Phone Number ��Z-'� ��,�V �v" (� Date �— �v^ � I
Signature Witness Signature
OLD METER# �-� �g ��� �
OLD READiNG L lS���Vl�
NEW METER# �a�o�3a 3
NEW READING v
ERT# ��� ��� � 3
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer iine wnnecting the existing municipal system and any house or building fo�which the '`
appiication is made,the owner or contractor shali be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter il af tfiis Code. After such connection has been made,the Water and Sewer Departmerrt shall be notff'�ed. It shall be unlawful ta 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 conrtection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop boz or the sewer lead at the property l[�e or 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 lines necessary for connettion of the premises from the main to the premises. If the property o�rner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the maintenance and/or
repairs,inctuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appliprrt,
owner,occupant or user to perform standard maintenance of the sewer service{ine from the premises to the main induding debris ciearing or
root cutting and to maintain the water service curb stop 6ox for oqerability and at such height as will ensure that it remains above the flnisF�ed
grade of the land or property. (Ref 638,1156,1191)