Meter Swap f
` Request Number: 14575
Public Works Division
Service Request
Problem Address: 572 53 1/2 Ak; Requested By: Mr.Ja�ey
Department: WA'IER. Addres:: No address provided
Problem/Issue: INSTALL AMR METER Phone Nmnber: 763-572-9026
Scheduled Date: 2017-04-i l Sc6ednled 11me: 08:30:00
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„ AC7ION NEEDED:
Created by: Beth Kondrick Date Created: 2017-Q4-06
ACIION TAI�N:
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'[►� Snbmitter Hnr Been
Status: in Progess Co�acted r
Ds�te Compieted: �, � Completed by '`�
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City of Fridley �D� '" �� �
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
1/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 liabte for the water line from the main to the premise and aii iMerlor
piumbtng. (Per City code 402.06) I also hold the City of Fridley and/'�ts employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wa{Is,floors or the curb stop box and servite line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) " � � � `� � �
Name: '-`r� _��i�,h�'y Address �j 1 0� ✓ /� tl� ,n __-
F���C�
Pbone Number �1Y3— ��� �l/�`� Date � � � �� � 1
S� nature -�
�8 Witness Signature
OLD METER# a��1 �3s��
OLD READING D��7���
NEW METER# ( I� / �- ! �
NEW READING O
ERT# ��� � ��W�
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 any water of sewer tine connecting the existing municipaf system and any house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shatl pay a permit fee as provided in
Chapter li 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 i�spection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the i�itial 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 tine for connection,the applicant,owner,or occupant or user of such premises shall be liabie 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 owner
requests maintenance servicQ or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance 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 mairrtenance of the sewer service line from the premises to the main induding debris clearing or
root wtting and to maiMain the water service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)