Meter Swap , ` Request Number: 16422
Public works Division
Service Request
Problem Address: 1357 53rd Ave Reqaested By: Atme Tryg
Department: WATER Address: No address p�ovided
ProblemlIssue: INSTALL AMR METER Phone Number: 571-5143
Scheduled Date: 2017-08-01 Schedaled'ilme: 01:00:00
Q �T
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-0?-21
ACIT N TAI�N: �
1/�5�.� ` ��
Status: In Progxess Snbmitter Has Been r
Contacted
Date Completed: Completed by:
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City o#Fridley ��� r �
• Water Departrreent h I
� 6431 University Avenue NE �
Fridley,MN 55432
763-572-3566
�f"Ve fiereby authorize the City of Frid(ey and/or its empfoyees 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 iMerior
plumbing. (Per City code 402.06j 1 also hold the City of F�idley andPts employees harmless for any damages that may occur while doing this
operation. This to include,but not fimited to valves,piping,walts,floors or the wrb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) O�,� ` " v
Plame• Address
Phone Number v� Date `
Signatu �tness Signature
OLD METER# � ��`�� '
�
OLD READING _ O F �� '�--�J
NEW MEI'ER#_� 1 J� ��''1 O
NEW READING V
ERT# R� l�`l � 4����
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,624,638,662,922,988,1144,1156,1191)
402.5 PERMlT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and arry house or buiiding for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shali pay a�rmit fee as provided in
Chapter 11 of this Code. After such connectior+has been made,the Water and Sewer Departmerrt shall be notified. It shalt 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 connedion.
402.06 REPAIRS AND MAINTENANCE TO COPINECTION
After the initial connection has beer+made to tfie water service curb sCop box or the sewer lead at the properly line or a water senrice lead has
, been extended to the property line for connection,the applicant,owner,or occuparrt or user of wch premises shall be fiabie for all repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. lf the property oamer
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs ot the mairKenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris clearing 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
�rade of the land or property. (Ref 638,1156,1191j