Meter Swap Request Number: 14654
Public Works Division
Service Request
Problem Address: 6700 Arthur St Requested By: Margaret
Department: WA1ER Address: 6700 Arthur St
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Pbone Number: 763-5'12-3'I79
Scheduled Date: 2017-04- 9 Schednled 1ime: Ol:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-12
ACTION TAKEN: �
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Status: In Progress 5nbmitter Has Been �,
Contacted
Date Completed: �-�)�...,� Completed by:
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City of Fridley ���������-/
Water Department ��
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
I/we hereby authorize the City of Fridiey 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 iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may o�r while doing this
operation. This to inclade,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am alw required
to obtain a perrr��t prior to any worlc,if necessary.
FINAL METER READING(old meter) � `
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Name: �� Address � � �
Phone Number � � y �� Date V v�� ✓ v l
Signature Witness S'�gnature
OLD METER# ,;)l!L r/ �D �-l
OLD READING � �V���v
NEW METER# � 4� ���I
. NEW READING v
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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 contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt shatl be notified. It shall be unlaarful to aover
any connecting line until an inspection has been made and wch connection and the work inadent thereto has been apprwred by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service airb stop boz 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 occupaM or user of such premises shall be ilable 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�rner
requests mairrtenance service or repairs be performed by the C'ity,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. R shall be the responsibil'�ty of the applicaM,
owner,occupant or user to perform standard maintenence of the sewer service line from the premises to the main including debris clearir�or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remalns above the flnished
grade of the land or property. (Ref 638,1156,1191)