Meter Swap � .
� Request Number: 14567
Public works Division
Service Request
Problem Address: 556 54th A�e Requested By: volet Jurek
Depxrtment: WATER Address: No sddress provided
Problem/Issue: INSTALL AMR METER Phone Nnmber: 763-572-9028
Sc6eduled Date: 2017-04-13 5c6ednled 1lme: 11:30:00
� ` �
ACTION NEEDED:Rescheduled from missed AlbIIt appt
Created by: Beth Kondrick Date Created: 2017-04-06
ACTION TAI�N:
._.....�...�...L�.--�_�J.'_.____—�'.__� �
Statas: In Progress Snbmittcr H�Bcen �
Contacted
D�te Completed: Completed by:
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City of Fridley � � ��� �
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. I understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 atso hold the C'rty of Fridley andJits employees harmless for any damages that may oca�r while doing this
operation. 7his to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am alw required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_ � ��v ` � D
Name•�`�[1\� UV��� Address J��✓ � 1 � �}�
� L� � (j�
Phone Number��,'S� t��'� 4 L�ate ��`�`�
Signature �tness Signature
OLD METER# ���� `����
OLD READING � �SO 1 ��
NEW METER# �—f����L( �
NEW READING v
ERT# � ��1 ��v�
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 muntcipal system and any house or bulldirq�for whid�the
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided tn
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shalt be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Ctty as 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 service kad has
been extended to the property line for connedion,the applicarrt,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 property owner
requests maintenance service or repain be perFormed by the City,the property owner shall be charged for the costs of the maitrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responstbility 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 mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. 1Ref 638,3156,1191)