Meter Swap z � Request Number: 14971
Public Works Division
Service Request
Problem Address: 533 53 1/2 Ave Requested By: Tamara 1}�om�on
Departme�: WATER Address: No address provic�d
Problem/Isaue: INSTALL AMR METER Phone Number: 763-432-0242
Scheduled Dnt • 2017-OS-01 Sche ed 11me: 09:00:00
s�
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-26 �
ACTION TAI�N:
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Status: In Progress Snbmitter Haa Been r,
Coutacted
Date Completed: Compteted by:
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Gty of Fridley �J�
Water Department ��
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/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 aU interior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may ocwr while doing this
operation. This to inciude,but not limited to valves,piping,walts,floors or the curb stop box and service iine. in undersWnd t am a�so required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � �J��-L D
Name�_ Address � �� �c.� �/ � I� `�'`�
Phone Number��J� ���� �e �r�,� `�
Signature Witnes.s Signature
OLD METER# � ��2 c��� �
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OLD READING V �L�� - t �J S h V�Q�S
r Y� 0
NEW METER# � - f L/� F � �
NEW READING �
ERT# � � �� ���y �
FRIDLE1f CITY CODE
CHAPTER 402.WATER,STORM WATER ANO SANITARY SEWER
ADMINlSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of arry water of sewer line connecting the existing municipal system and a�ry house or buiiding for whkh the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permn fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shalt be notified. It shall be unlawFul to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the City�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 seivice lead has
been extended to the property line for connedion,the applicarrt,owner,or occupaM or user of such premises shall be lisble 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 property owner
requests maintenance service or repairs be performed by the City,the property owner shall be ch�rged for the costs af the mair�tenartce 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 induding debris ckarirlg 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 flnished
grade of the land or property. (Ref 638,1156,1191j