Meter Swap ,
Request Number: 14757
Public Works Division �
Service Request '
Problem Address: 529 54th Ave Requested By: Jobn Tex�lin
Department: WA'IER Address: No address provided
ProMem/Issue: INSTALL AMR METER Phone Number: 574-1457 �
ScheduledDat 2017- 4-21 Schednled'ITime: 01:30:00
, 2� 5�-- j,�
ACIION NEEDED:
Crented by: Wendy Hiatt Date Created: 2017-04-18 �
AGTION TAI�N:
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Status: In Progress Submitter Has Been r,
Coatacted
Date Completed: Completed by:
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City of Fridley � �1' �� " �
Water Department �
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what ts 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 interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages that may ocp�r while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �{
Name:_ �1 C�V���`�,�p `1^ Address__��� �� �
Phone Number ��� � I Date��� ` r � `
Signature Witneu Signature
OLD METER# � `T'�S � V� �j
OLD READING 4 `--1 � l�'�) �
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NEWMETER#_��� � 6 ��
NEW READING l/
ERT# �122����Z
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 any house or building fw�which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident th@reto has been approved by the City as a
proper and suitabie connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property line for connection,the applicant,owner,or ouupant or user of such premises shall be I'wble for ali 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 properly owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing 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)