Meter Swap . . .
Request Number: 14455
Public Works Division
Service Request
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Problem Address: �52nd Ave Requested By: Grant
Department: WA'IER Address: No address�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 651-600-4060
SchedWed Date: 2017-04-12 Scheduled'19me: 01:00:00
(�ll t d � I � �:
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-03-31
ACITON TAKEN:
...................�:���.�................_���....._._.......___...._..________._...__�...._...................__._........_...................__.__...._........___...._..._.....�____._._.._..._.___
Status: In Progress Submitter Has Been C,
Contacted
Date Completed: Completed by:
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City of Fridley ��-� ����
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the C'�ty of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Frtdley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FIPIAL METER READING(old mete�) ���� v��
Name: ���✓V� Address ` J_V� (�� �
Phone Number v ���" Y"�/'��te �,'—\� — ��
Signature Witness Sigrtature
OLD METER# l �JZ I�I 1 y
OLD READING �J�� V��
NEW METER# � t (�'�-�����
NEW READING �
ERT# � � �"I 4 "1 `1�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,9Z2,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and any house or buildir�for which the
application is made,the owner or coritrector shall be required to obtain a permit for such connedion,and shall pay a permk fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM sha!!be notified. It shaU be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been appro�d by the City as a
proper and suitabie connection.
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 line or a water service lead has
6een eutended to the property line for connection,the applicarrt,owner,or occupant or user of wch premises shali be liabte for att repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shafl be the responsibility af the applicant,
owner,oaupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debrts 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)