Meter Swap Request Number: 14454
Public Works Division
Service Request
Problem Address: 1391 53rd A� Requested By: Judy Shupien
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-310-4845
Scheduled Date: 2017-04-OS Scheduled'lime: 07:30:00 '
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ACITON NEEDED:
Created by: Beth Kondrick Date Created: 2017-03-31
ACTION TAI�N:
......................................�.:..............................._ '-rV a.�?t7�t,.1�1�............................. . _....._.............. . _.
Statas: In Progress Submitter Has Been C
Contacted
Date Completed: ��- --�� Completed by: J a� - ,
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City of Fridley C� � �L���j
Water Department `�
6431 University Avenue NE
Fridiey, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is ne�cessary 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) 1 also hold the City of Fridley andrts employees harmless for arry damages that may oc.�r whfle doing this
operation. This to inc{ude,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(old meter) ���� �v�
° � 3� I .53�`� �-
Name: u�� >�Ti�� Address—
Phone Number ���� �1 v ��—{ � Date � ✓ ✓ v��
�.
Signature �tness Signature
OLD METER# ��!�� / ��
OLD READING "` �-1 � ��
NEW METER# ��� ` � 6�
NEW READING �
ERT# � zaa �� i 3
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 exfsting municipal system and any house or buildir�for which the
appiication is made,the owner or cor�tractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer DepartmeM shali be notified. It shall be unlawful to tover
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved 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 connection,the applicant,owner,or occupant or user of wch 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�vner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the cos�of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance 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
grade of the land or property. (Ref 638,1156,1191)