Meter Swap Request Number: 14708
` � Public works Division
Service Request
Problem Address: 521 54th Ave Requested By: Henry Saffert
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-9272
Scheduled Date: 2017-04-19 Scheduled'l�me: 10:30:00
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ACTION NEEDED:
Created by: Beth Kondrick , Date Created: 2017-04-14
ACTION T
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by: `�,
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City of Fridley ��� ���
Water Departrnent
• 6431 University Avenue NE
Fridley,MN 55432
763-572-3566
t/we hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. 1 understand that the properLy owner is liable for the water line from the main to the premise and all irKerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,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.
F(NAL METER READIPIG ofd meter � � � �
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Name: tn`��� ��1� � Address_ ��� � � � � /"���--
PhoneNumber `��'�v i l�'�� �^ Date ��' L� ` � 1
Signature Witness Signature
OLD METER# � `�`� J ��P��
OLD READING lJ�� lJ� Q
NEW METER# Y 1 � i" � � I
NEW READING Q
ERT# ` ��� JV-I �
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 Iine wnnecting the existing municipal system and arry house or buiiding for which the
application is made,the owner or wMractor shali be required to obtain a permit for such connection,and shall pay a permk fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer 1?epartmerrt shal!be notFfied. It sha!!be anlaMrFul to caver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAtRS AAID MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service aub stop box or the sewer lead at the property Itne or a water service lead has
been extended to the property lind""for connection,the appiicant,owner,or cecupant 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 premises. If the property owner
requests mairttenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. it shail be the responsibility aF the applicarrt,
owner,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main inciuding debri.s 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 tand or property. (Ref 638,1156,1191)