Meter Swap �
• Request Number: 14365
Public works Division
Service Request
Problem Address: 588 54th Ace Requested By: Don Kostick
DepsrtmeM: WA1ER Address: No address provided
ProMem/tasue: INSTALL AMR METER Phone Number: 572-0485
Scheduled Date: 2017-04-04 5che ed 1lme: 09:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�sd: 2017-03-28
ACTI N TAI�N:
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Status: In Progress Sabmitter Ha:Been r
Contacted
Date Completcd: Gompleted by:
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CityofFridley �O� 3� �
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
repiace the water meter. I understand that the property owner is liable for the water Iine from the main to the premise and all iMerio�
plumbing. (Per City code 402.06j I also hold the City of Fridley and/its employees harmless for arry damages that may oaur while doing this
operetion. This to include,but not limited to valv+es,piping,walls,flears or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter `�-'��� ���
Name: �`�U ` h� Address ��� ��� " ""�
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Phone Number `7������� Date ��_ ` � � `
Signature Witness Signature
OLD METER# ��Z LfJ �� �� .
OLD READING ���� Y-c:��
NEW METER# —t r I�IJ�" � �
NEW READlNG O
ERT# � ��� � �� �
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
Prbr to constructing ar repair af any water of sewer llne connecting the existing municipal system and any house or buiiding for whkh the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connedion has been made,the Water and Sewer Departme�rt shatl be notified. It shatl be untawful to oover
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved b�l the City as a
proper and witable 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 11ne or a water servlce lead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of suth premises shall be liable for all repairs
required to any water line and sewer lines necessary for conne¢tion of the premises from the main to the premises. 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 maintenance 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 dearing or
root cutting and to maintain the wate�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 638,3156,1191)