Meter Swap � Request Number: 15054
Public works Division
Service Request
Problem Address: 631 53rd Ave Requested By: Troy Brown
Depnrtment: WA1ER Address: No address�ovided
Problem/Iaaue: INSTALL AMR METER Plrone Number: 763-228-5838
SchedWed Date: 2017-OS-01 Schedaled T1me: 0130:00
1 Sr � �
ACIION NEEDED:
Created by: Beth Ko�rick Date Created: 2017-04-28
ACIION TAKEN:
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______..�.....____.__.__.............____._ _.__._____._...__._ ._....___._. ................___.____
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Status: Tn Progress Submitter Has Been r.; ,
Contacted
DateCompleted: �, � �� Completedby� �
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` City of Fridley s�� 3� �+
Water Departrnent
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City 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 C'�ty code 402.06) i also hold the C'rty of Fridley andrts empioyees 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,ff necessary.
FINAL METER READING(old meter) � v �� ���
Name: `�""I ��� Address_ W ✓1 ��� �CJ� .
Phone Number �3 " � 1�� � Date � ~ � � `
Signature Witness Signature �'—
OLD METER# ` �'" � �� ` �"'
OLD READING W�� ` "��
NEW METER#_ t 1���� v -(
NEW READING �
ERT# � ��� 135�
FRtDLEY ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructin�or repair of any water of sewer line connecting the existing municlpal system and any house or building for which the
application is made,the owner or wrrtractor shall be required to obtain a permit for such wnnection,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 C1ty as a
proper and suitable 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 servioe lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repalrs
required to any water 4ine 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 malntenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. R shall be the responsibtlity of the applica�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156.1191)