Meter Swap c �
Request Number: 14655
Public Works Division
Service Request
Problem Address: 163 1 66 1/2 Ave Requested By: Shannon
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 904-607-1960
SchedW ed Date: 2017-04-19 SchedW ed T5 me: 10:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-12
ACTION TAI�N:
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Status: In Progress Submitter Has Been �,
Contacted
Date Completed: � ,�� ���� Completed by: �
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City of Fridley
Water Department S� �� ���
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. 1 understand that the property ow�er is liable for the water fine from the main to the premise and all interior
plumbing. (Per City cbde 402.06) 1 also hold the City of Fridley aod/'rts employees harmless for any damages that may oaur while doing this
operation. This to inciude,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� `� G � �
Name• �1 UJU��� Address � I uG / L-
Phone Number�" ''� `��1 l � ���Ql,/ Date_ 4 ✓ t�� �
Signature Witness Signature
OLD METER# o�`�������
OLD READING ! ✓� L � �
NEW METER# L 1�v I 8l��
NEW READING �
ERT# �r�-� ( �� ` �
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 municipal system and any house or building for which the
application is made,the owner or coMracto�shall be required to obtaln 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 notified. it shall be unlawful to cover
any conneding line until an inspedion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
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 lead has
been extended to the property line for connection,the applicant,owner,or ocwpant or user of such premises shall be liable for all repairs
required to any water li�e 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 C'ity,the property owner shall be d�arged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility aF the applicaM,
owner,occuparit or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water 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 638,1156,1191)