Meter Swap , . �
Request Number: 14713
Public Works Division
Service Request
Problem Address: 588 53 11,�,Ave Requested By; Dick Stavusld
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-247-1916
Schedul ed Date: 2017-04-20 Schedul ed'I5 me: 02:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-14
ACTION T�N:
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Status: In Progress Submitter Has Been �.,
Contacted
Date Completed: �r�` �� Completed by: � �
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City of Fridley c �� ���
Water Department J
6431 University Avenue NE
Fridley,MN 55432
763-572-3556
�/We hereby authorize the City of Fridiey 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 ar�d all iriterior
plumbing. (Per C'ity code 402,06) i also hold the C'�ty of Fridiey and/'Ks employees harmless for arry damages that may occur while doing thls
operation. This to inciude,but not limited to vahres,piping,walls,floors or the curb stop box and seevice line. fn understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING old meter ��� � v� D
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Name: ���� SF-U Address ✓ v V �'J l�' `�vG
Phone Number ��Z V d�' Y�`+4�� W Date �u O'� � ��
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Signature Witness Signature
OLD METER# ����� �a. 1�J
OLD READING ��� � � ��
NEW METER# � 1�� �� l`F'
NEW READING l./
ERT# _ ���� ✓3 </�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord Plo 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4Q2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer iine connecting the existing municipal system and arry house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provtded in
Chapter il of this Code. After wch connection has been made,the Water and Sewer Department shall be notified. it s6a(I be un(awful to cover
any connectirrg line until an inspection has beert made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE 70 CONNECTION
After the initial connectiort has been made to the water service curb stop box or the sewer lead at the property lirte or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such 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 premises. FF the properly owner
requests maintenance service or repairs be perFormed by the C'rty,the property owner shall 6e charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set artnually by an administrative policy. It shall be the responsibility of the appllpnt, �''y�
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to mairrtain the water service curb stop boz 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)