Meter Swap Request Number: 14382
Public works Division
Service Request
airess: 1323 53rd Aue Requested By: Lois Jensen
b�_ �t: WATF,R Address: No address provided
Problea�tssue: INSTALL AMR METER Phone Number: 571-8360
Scheduled Ds�te: 2017-04-14 Schedeled Time: 07:00:00 �
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ACIION NEEDED:
Crented by: Wendy Hiatt Dxte Created: 2017-03-29
ACTION TAi�N:
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_...._._____._.__._�S� ��e� _.__.._._.__._ �-�+�'!-�--
Status: In Progress ���er H�s Been r
Co�acted
IJate Completed: ��I �^ �� Completed by: �0.�„�
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' City of Fridley S��' 3S��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the Clty of Fridley and/or its employees to do what is necessary to
repiace the water meter. I undentand that the property owner is liable for the water line from the main to the premise and alt i�Kerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages that may oaa,�r while doirq�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(old meter) O � �� '
Name: �L5 ✓��5�� Address '��� �3r d �'1/`'�.
Phone Number ���� ��0 Date � � ` 1� �
�.-�^
Signature Witness Signature '
OLD METER# � tl� V ''�,� - 1� (
OLD READING_ V �� ���U
NEW METER# 1 I �D � V CJ I
NEW READING v
ERT# � ��� � 1 � �
FRIDLEY CITY CODE '
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191i
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line w�necting the existing municipal system and any house or building for which the
application ts made,the owner or contractor shal!be required to obtain a permit for such connection,and shall pay a permft fee as provWed in
Chapter il 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 inspedion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suttable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECT�ON
After the initia!connection has been made to the water service curb stop box or the sewer lead at the property line or a waier service I�ad has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall be liable for ail repgirs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. ff the property�rner
requests mairrtenance service or repaFrs be perFormed by the City,the property owner shall be charged for the costs of the maintenanae and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. k shall be the responsibility of the appliwr�t,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main inc(uding debrts ctearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)