Meter Swap ' Request Number. 14888
Public Works Division
Service Request
Problem Address: 5380 7th A�e Requested By: Cazol Hoiby
Department: WA'IER Address: No address�ovi�d
ProblemlIssue: INSTALL AMR METER Phone Nnmber: 572-9169
Schedul d e: 201 -04-26 `� Sc6ednled 1ime: 07:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-24
ACIION TAI�N:
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Status: In Prog�ress Sabmitter Has Becn r
CoMacted
� Date Completed: Completed by:
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City of Fridley
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authortze the City of Fridley and/or its employe�s 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
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not fimited to vatves,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 READ{NG(old meter) �� UO `(,J
Name: �ra t`i � Address � ✓� ��� �`w
Phone Number 1 f � Date y ��_ I�
Signature Wkness Signature
OLD METER# ���"I' ���O
OLD READING ��� �`-[ D .
NEW METER# `-t�1 Z� � pj ��p .
NEW READING �
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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 PEE
Prior to constructing or repair of any water of sewer line con�ecting the existing municipal system and any fiouse or buifding for which Lfie
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a perrnit fee as provided In
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to cover
any connecting line until an inspection has been made and wch 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 initiai connection has been made to the water senrice curb 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 applicant,owner,or occuparrt or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property owner
requests maiirtenance service or repairs 6e pe�formed by the City,the property owner shall be charged for the costs of the mairrtenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer�rvice line from the premises to the main induding debris dearing 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)
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