Meter Swap - Request Number: 14558
Public works Division
Service Request
Problem Address: 551 53rd A�e Requested By: Joan�Milner
Department: WA1ER Address: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Number: 572-9027
Scheduled Dnte: 2017-04-12 5cheduted Time: 08:30:00
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ACIION NEEDED:
Created by: Wendy Hi�t Date Cres�ted: 2017-04-06
ACIION TA�� �, `
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Status: In Progress Sabmitter Has Been �.,
Couts�ted
Ds�te 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 City of Fridley and/or its employees to do what is�ecessary 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 402.06) i also hold the City of Fridley and/its empioyees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,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.
FINAL METER READING(oid meter) � � �� � � �
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Name•_ pcidress
Phone Number ��� ���� Date ��6 v '�
Signature Witness Signature
OLDMETER# �������
OLD READING `��� J ��v
NEW METER# ` t�� ��� �
NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(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 buiiding for which the
application is made,the owner or contractor sfiail be required to otrtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shalf be notified. it shall be unlawful to cover
any conneding line until an fnspection has been made and wch connedion and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
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
been extended to the property line for connection,the appikant,owner,or occupant or user of such premises shall be liabte fior ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shal)be charged for the costs of the mai�rtenancx and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appliant,
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 mairrtain the water service curb stop box for operability and at such height as wiil ensure that it remains above the ftnished
grade of the land or p�operty. (Ref 638,1156,1191)