Meter Swap �,
` Request Number: 15343
Public Works Division
Service Request
Problem Address: 1490 66th A� Requested By: Fred Biscbke
Department: WATER Address: No a�ress�ovided
Problem/Issue: INSTALL AMR METER Phone Nambcr: 571-2248
Sc6eduled Date 2019-OS-16 ,.� Schednled T'Ime: 01:30:00
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ACTION NEEDED:
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Created by: Wendy Hiatt Dste Created: 2017-OS-15
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Status: In Progress Submitter Has Been r,
Contacted
Date Completed: � � V�� Completed by: �a`, ,�
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t City of Fridley �
Water Department � �e�iz�
6431 University Avenue NE
Fridley, MN 55432
763-572-35b6
�/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 tiable for the water line from the main to the premise and all ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vahres,piping,walis,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.
FINAL METER READING(oid meter)_ `�"� v' L � V "
Name: ��� ��� L���. Address_ �� (� W 1f1.� � .
Phone Number �� �_ ��- l�V Date � � �'� � ��
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Signature Witness Signature
OLD METER# V� 4/� " � U�
OLD READING � � `� ��v
NEW METER# � I ��� �� V �
NEW READING v
ERT# � � 4� 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 af sewer line connect�ng ihe existing municipa!system and any house or building fior whkh the
appiication is made,the owner or contractor shall be required to obtain a permit for such con�ection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be uniawful to cover
any conneding line until an insped+on has been made and such connection and the worlc incident thereto has been approved by the Crty as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie 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 repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repalrs at a rate set aonually 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 including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)