Meter Swap �
` Request Number: 14258
Public Works Division
Service Request
Problem Address: 1309 53rd A� Requested By: John
Department: WATER Addresa: No address provided
Problem/Iasue: INSTALL AMR METER P6one Nnmber: 574-9406
Schednled Date: 2017-03-28 � Schedeled'ilme: 07:30:00
�
ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 201?-03-22
ACIION TAI�N•
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���: ��o�sS Snba�itter H�Been �.,
Contacted
Date Completed: Completed by:
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' City of Fridley �G�� � � �C-�
Water Department
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6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what ls 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 all iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing thls
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand 1 am alw required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old mete�) � �Z3 3�C�
Name•_,�,��' _ Address ��v ) ��Y �
Phone Number ��� 1' t v+'� Date � � �"' � ��
Signature Witness Signature
OLD METER# �� '1� � O J
OLD READING ����� ��
NEW METER# — I ��U� � � �
NEW READING �
ERT#__� ` cU� � �, l�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,11�4,1156,1191)
402.5 PERMIT FEE
Prior to construding 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 contrador shall be required to obtain a permit for such connection,and shall pay a permtt 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 Crty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property Iine or a water service lead has
been extended to the properly 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 premtses. 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 mairrtenance and/or
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 tncluding debris clearing or
root cutting and to maintain the water service curb stop box tor operability and at such height as wili enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191J