Meter Swap Request Number: 14445
Pubfic Works Division
Service Request
Problem Address: 1345 52nd Ave Requested By: John Larldn
Department: WATER Address: No address�ovided
ProblemJIssue: INSTALL AMR METER Phone Number: 763-242-5316
Scheduled Date: 2017-04-OS cheduled 13me: 08:00:00
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ACTION NEEDED:
Created h� ` '"";� Beth Kondrick Date Created: 2017-03-31
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ACT[ON TAI�N:
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Status: In Prog�ess Submitter Has Been �
Contacted
Date Completed: ��.� —�� Completed by: ���,�
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City of Fridfey Sb � �4 (�
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/wa hereby authorize the Clty of Fridley and/or 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 402.06y i also hold the C'�ty of Fridley and/its employees harmiess for any damages that may o�r wbile dang this
operation. This to include,but not limiied to valves,piping,walls,floors or the curb stop box and service line. In undersWnd I am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(old meter) � �✓ 6 v
Name: _ �U�V� ,rCN/` Y��' Address ��� ��,``�
Phone Numbe� `w� ~ � 1� �����Date ����— ��
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Signature Witness Signature
OLD METER# �'�/����� J
OLD READING ��/ t (J
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NEW METER# ���V l U� �
NEW READING �
ERT# � zZ23a 1 )
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7RATION
(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 arry water of sewer line connecting the existing municipal system and any house or building for vrhid�the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 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 REPAIRS ANO MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water senrice curb stop box ar the sewer lead at the property line or a water servlce lead has
been extended to the property line for connection,the appltcant,owner,or occupa�rt or user of such premises shali be Nable for all repairs
required to any water line and sewer lines necessary for connection of tfie premises from tfie main to the premises. Ifi the property owner
requests maintenance service or repairs be pert'ormed by tbe City,the property owner shafl be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annuaNy by an administrative poliry. it shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operabil'ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)