Meter Swap � Request Number: 14437
.
Public Works Division
Service Request
Problem Address: 596 53 1/2 Av�e Requested By: Will Stacy
Dep�rtment: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nomber: 612-597-3484
Scheduled Date• 2017-04-06 Schednled 11me: 01:30:0(1
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AGTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-03-30
ACIION TAI�N:
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Status: Tn Progress Submitter Has Been r..
Contacted
Date Completed: Completed by:
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. City of Fridley
Water Department
6431 University Avenue NE
Eridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its emptoyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water{ine from tfie main to the premise and all iMerwr
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop box and service line. In understand I am aiso required
to nbtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � l� � �
Name:V�i, Address_ �� � C� t!2 �i`
Phone Number �V�" �� �Date �'� �� ��
Signature Witness 5ignature
OLD METER# � "��� �2 ��
OLD READING ��� � ��
NEW METER# ����� 1 V
NEW READING v
ERT# � ���� � I �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(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 any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owrter or coMractor 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 wnnection has been made,the Water and Sewer Department shall be notified. lt shall t�unlaMrfui to co�er
any connecting line until an inspectio�has been made and such wnnection and the work incident thereto has been appro�red by the City 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 service lead has
been extended to the property line for connedion,the appficarrt,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property aaner
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,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard mainte�ance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will enwre that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191)