Meter Swap ��
' Request Number: 14307
Pui�lic works Division
Service Request
Problem Address: 1499 66th Ave Requested By: Carol Newnan
Department: WATER Addreas: No a�ress provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 763-535-8692
Schedul ed Date: 2017-04-10 5c6eduled'11me: 01:30:U0
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EiC'IION NEEDED:
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Crexted by: Beth Kot�drick Dnte Cre�ed: 2017-03-24 � �
ACTTON TAI�N:
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Status: In Progress Submitter Has Been r,
Contacted
DateCompieted: ��� �l _ �� Compietedby: ���
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' City of Fridley s�� ���(
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is neceasary 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) I also hold the City of Fridley and/its employees harmless for arry damages that may ocar while doing this
operation. This to include,but not limked to valves,piping,walls,floors or the curb stop box and service line. In understarui 1 am also required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(old meter) �+' O
Name:���� N�,�.n� Address__ 1 I 1 `Q CQ .
Phone Number b��— ����v�/ (��pate 4 � y� `r � t
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Signature Witness Signature
OLD METER# �� V �� ��
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OLD READING �� I �Y V �v
NEW METER# �� �� � v��
NEW READING � �
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)
4Q2.5 PERMIT FEE
Prior to construding or repatr of any water of sewer line connecting the existing municipal system and any haise or buildi�g 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 11 of this Code. After such connection has been made,the Water and Sewer Department shall be nofified. It shall be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS APIO 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 lead has
been extended to the property line for connection,the applicar�t,owner,or occupant or user of such premises shall be IiaWe for aU 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 maiMenance 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 repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occuparrt or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clea�ing o�
root wtting and to maintain the water service curb stop box for operability and at such height as wiil eosure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)