Meter Swap .
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Request Number: 14632
Public Works Division
Service Request
Problem Address: 5310 7th St Requested By: Jason Hemming
Department: WA7:ER Address: No address provided
ProblemiIssue: iNSTALL AMR METER Phone Number: ?63-571-7579
Scheduled Date: 2017-04-26 Scheduled Time: 01:30:00
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ACTION NF�DED:
Created by: Beth Kondrick Date Created: 2017-04-11
ACTION TAI�N: -
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Status: In Progress Snbmitter Has Been r,
Contacted
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Date Completed: (,. _ 1���y Completed by: �0.� `t`
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridiey and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the p�operty owner is liable for the water Iine from the main to the premise and all interior
plumbing. (Per City code 402.�) I also hold the City of Fridley and/its employees harmless for any damages that may oca��while doing this
operation. This to inciude,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to arry work,if necessary.
FlNAL METER READIN6(old meter) � V � �� �
Name• �A,�h- ���fVl� � Address ���V / �•
Phone Number ������ " v /J � Date �� ��V � `
Signature Witness Signature
OLD METER# �q��� 1 0'�� i, �
OLD READING ��� � 4 G
NEW METER# 1 1�U � ���
NEW READING �
ERT# � ��c�� �� �I
FRfDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANfTARY 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 line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or wntractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provtded in
Chapter il of this Code. After such connection has been made,the Water and Sewer Departme�rt shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work inudent thereto has been approved by the�ty as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property Me or a water seroice lead has
been extended to the property line for connection,the applicant.owner,or occupant or user of such premises shall be Itable for all repairs
required to aay water li�e and sewer lines necessary for connection of the premises from the main to the premises. If the properly owner
requests maintenance service or repairs be performed by the City,the property owner shali be chacged for the c�sts of the maiMenance and/or
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 service line from the premises to the main including debris ciearing or
root cutting and tc maintain the water sQrvice curb stop box for operabil'�ty and at such height as will ensure that it remains abwre the finished
grade of the land or property. (Ref 638,1156,1191)