Meter Swap � Request Number: 14270
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Public works Division
Service Request
Problem Address: 1349 53rd A� Requested By: Dew�
Departme�: WATER Address: No address providcd
Problem/Issue: INSTALL AMR METER P6one Nnmber: 571-1955
Sched�iled at • 2017-03-29 Sc6ednled 1lme: 07:30:00
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`�� ACIION NEEDED:
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Created by: We�xly Hiatt DAte Cre�ed: 2017-03-23
ACIiON TAI�N: � �
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StAtus: In Progress Sabmitter Has Been r, >;:;�t
Co�t�ted
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Date Completed: �� �r,��� Completed hy: � 1
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� City of Fridley
Water Department � � � / ��
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali imerior
plumbing. (Per City code 402.06) 1 aiso hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)__ �� 6 � �V D
Name• �"e✓b�!�!°L Address � �1��
Phone Number ��� r � /J� Date V� ✓` �
Signature Witneu Signature �
OLD METER# ��S����l
OLD READING v� �� 7 0�
NEW METER# �( qa��5��
NEW READtNG O
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FR{DLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRATION
(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 buildi�for which the
application is made,the owner or contrector 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 not�ed. 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 City as a
proper and su'rtabfe 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 senrice lead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of wch premises shall be liable for all repairs
required to any water line and sewer fines necessary for connectton of the premises from the main to the premises. If the property owner
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,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibtlity of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing 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)