Meter Swap �
� Request Number: 16297
Public works Division
Service Reqciest
Problem Address: 565 57th Ave Requested By: Amy Mundell
Department: WA'IER Address: No�dress�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-226-8147
Scheduled Date: 2017-07-13 Sc6ednled'Rme: 09:00:00
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ACITON NEEDED:
Created� _ Beth Kondrick Date Created: 2017-07-12
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AC'ITON TAI�N: �
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5tatus: In Progress Submitter Has Been -�r
Contacted
Date Completed: Completed by: `
Hours �— t3 "' � 1 V a�
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., City�f Frielley ��� i ,���
,
Watec Departrnent �•�
6431 University Avenue NE
Fridley,MN 55432
7fi3-572-3565
��`"�e hereby authorize the City af Fr�dley 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 irrterior
pturr►bing. (Per City code 402.06) 1 also hold the City of Fridley and/'rts employees harmless for any damages that may occur whiie 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 aiso required
to obtain a permit prior to any wor[c,if necessary.
FINAL METER READING(oid meter) v � � � � �
Name: I�W`'�/ IVl V1�11� �,/ Address_ ��� � / � �4�/'�i
Phone Numb �� " Z2�0'� ��a�te � ''' �3 ` ��
�Signature ' ess Signature ��
OLD METER# __ ��'"� �� vl
OLD READING � VP' � �v
NEWMETER# —1 {��'J ��� �
NEW READING O
ERT# CQ
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
. (Ref Ord No 113,464,565,566,629,638,662,922,98$,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
appfication is made,the owner ar contractor shall be required to obtain a permit for such conoection,and shaff pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Searer Departmerrt shall be notified. It shall be unlawful to cover
any connecting fine until an inspection has been made and such connection and the work incident thereto has been approved by the Crty as a
proper and suitable connection.
402.06 REPAIRS AA1D MAINTEIYANCE TO CQPINEGTIOlY
After the initial connection 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 tine for connection,the applicant,owner,or occupaM 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. If the property owner
requests maintenance service or rep�rs be performed by the Cty,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main including debris dearing or
root cuttirtg artd to maintain the water service curb stop box for operabifity and at such height as wiii ensure#�at it remains above the finished
grade af the land or property. (Ref 638,1156,1191)