Meter Swap ��� Request Number: 14314
Public Works Division
Service Request
_________�.___.__.__---_____.._._______-- ---_�_—_
Problem Address: 1385 53rd A� Requested By: Ms� ��m�01J
Departmeat: WA1ER Address: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Number; 1-515-201-5705
Schedultd Da : 2017-03-30 � 5c6edsled 1ime: 07:30:00
1
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ACTION NEEDED:
Create�by: Wendy Hiatt Date Created: 2017-03-27
ACTION TAKEN:
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Status: In Progress Submitter Has Beea r
Coutncted
�
D�te Completed: Com eted by:
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City of Fridley
Water Department �� �- 3 ���v
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the C�ty of Fridley and/or its employees to do what is necessary to
replace the water meter. I 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) I also hold the City of Fridley and/its employees harmless for a�y damages that may occur while doing ffiis
operation. This to indude,but not limited to val�s,piping,wal{s,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) I L(J L/ �� 4�
Name• � •� i(�l't41 ��� Address ����— _cJ��� �1��c
s s ` S -r `7 �«}
Phone Number Date '�� ' {, �;�
Signature �� Witness Signature ``.
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OLD METER# `^� � � �v;�::��.,,� .
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OlD READING I vJ C� i � �V
NEW METER# L V 4��O c7�,�"l
NEW READING �
ERT# _I � C�� �frj�� 1
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and a�ry house or buiiding for which the
application is made,the owner or contractor 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 connectioo has been made,the Water and Sewer Departmerrt shal{be notified. it sha{I be unlawfui to cover
any conneding line until an inspection has been made and such connedion and the work incident thereto has been appro�red 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 ocwpant or user of such premises shail 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 owner ° � ;:�.
requests maintenance service or repairs be performed by the City,the property owner shall be charged fo�the costs of the maintenance and/ar
ar':
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 maintenance of the sewer service line from the premises to the main induding debris cleartng 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 638,1156,3191)