Meter Swap > Request Number: 16416
t
Public Works Division
Service Request
Problem Address: 5961 Benjamin 5t Requested By: Judy
Depsrtment: WATER Address: No address�ovi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-354-8299
Scheduled D9te: 2 1'l-0 -24 �y 5c6ednled 1ime: 09:00:00
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-20
ACTION TAKEN:
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Status: In Progress Snbmitter Has Been �.
Contacted
Date Completed: Completed by:
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2 �
���7 ���6��a� � �
City o#Fridley �� ��g�
• Water Department �
�` „ 6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��rNe hereby authorize the City of Fridley and/or i�employees to do what is necessary to
replace the arater meter. 1 understand that the property owrner is liable for the water line from the rr�aia to the premise and al!im.erFor
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its emptoyees harmless for any damages that may occur while doing 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 requiced
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter}_ � � � `V� �
Name:� v��+► Address ` �o '�. � �'1
PhoneNumber�� �7J � l'���a� G^��'{."' ��
xl S�g.��e Witness Signature
OLD METER# _ ` I�J 1 2�
OLD READING � "c 1J`�� �
NEW METER# �- \�� � 1 y
NEW READING�
ERT# � �—b� �� � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been inade to the water service curb stop box or the sewer lead at the property line or a water service iead has
been extended to the property line for connection,the applicarrt,owner,or oaupant or user of such premises shall be liable 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 mairitenance service or repairs be performed by the�ty,the property owner shall be charged for fiMe costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarit,
owner,occupant or user to perform standa�d maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box fo�operabil'rty and at such height as wili ensure that it remains above the�nished
�rade of the land or property. (Ref 638,1156,1191)