Meter Swap Request Number: 14444
Public Works Division
Service Request
Problem Address: 6561 Arthur St Requested By: Mike
Department: WATER Address: No address provided �
Problem/Issue: INSTALL AMR METER Phone Number: 763-502-8865
Sc6eduled Date: 2017-04-06 Scheduled TSme: 08:00:00
ACITON NEEDED: C�5 �'l/%�-! `°G . L/ C,J
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Created by: Beth Kondrick Date Created: 2017-03-31
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been C,
Contacted
Date Completed: Completed by:
y - �-�� T" ��'
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City of Fridley Ch� �� ��
Water Department Jtd
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 ts necessary to
replace the water meter. I understand that the property owne�is(iable for the water line from the main to the premise and aH iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while dang this
operation. This to include,but not limited to valves,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) � •'-�� ��o
Name: �� Address �J�" � ��`� �r`�✓r (�
Phone Number ���^� � �Date �'� �� ��
Signature \,� l� Witness Signature
OLD METER# �� l� J� � 1
OLD READING_`�1 �✓� �1 �
NEWMETER# ��,Z�/���/ ✓
NEW READING �
ERT#_ / Z (,��" J V 1`�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEf
Prior to constructing or repair of any water of sewer line connecting the existing rnunicipal system and any house or building for which the
application is made,the owne�or contractor shall be required to obtain a permit for wch connection,and sfiall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any wnnecting 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.
4�2.06 REPAIRS AP1D MA{NTENANCE 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 seroice lead has 1
been extended to the property line for co�nection,the applicant,owner,or occupant or user of such premises shall be Itable for al)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 maiMenance andlor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applipnt,
owner,occupant 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 mairrtain 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 638,3156,3191)