Meter Swap r
Request Number: 14332
Public Works Division
Service Request
Problem Address: 1377 53rd A�e Requested By: Robert Barta
Departmcnt: WA'IER A,ddress: No address provided
Problem/Lgsue: INSTALL AMR METER Phone Number: 763-571-4967
Sched�iled Date: 2017-04-04 Sc6eduled 11me: 10:00:00
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ACTION NEEDED:
Created by: Beth Kondrick D�te Cre�ed: 2017-03-27
ACIION T
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Status: In Progress Subtnitter Has Been r,
Contacted
DAte 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 necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interlor
piumbing. (Per City code 402.06) I also hold the City of Fridley andrts employees harmless for any damages that ma�r o�r 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 atso required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meter) � �� � � c�
Name: �� (�A,Y� Address_ � ��� J��d- ��,,
Phone Number�C'� {�r "L"��� p�e �`�t'� �
Signature Witness Signature
OLD MkTER#_� �� ( �i�v�
OLD READING � LI � D � �O
NEW METER# ��,�� � �
NEW READING O
ERT# � Z �����
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN ISTRATION
(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 owner or coMrador 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 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 Crty as a
proper and witable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the property line or a water service lead hu
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. ff the properly owner
requests maintenance service 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 policy. It shall be the responsibility of the appiic3M,
owner,occupant or user to pe�Form 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)