Meter Swap ,
� Request Number: 14979
Public Works Division
Service Request
Problem Address: 1514 Berne Rd Requested By: Stacy Traviss
Department: WA'IER Address: No address provided
Problem/Issne: INSTALL AMR METER Phone Nnmber: 612-518-4667
Schedaled Date: 017-04-28 Schedaled'Ilme: 01:30:Of1
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ACIION NEEDED:
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Created by: Beth Kondrick Date Created: 2017-04-26
ACIION TAI�N:
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Status: In Progess �bmitter Hpa Been r
Co�acted
Date Completed: � '� p� `� � : ' Completed by: � �(�—
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' City of Fridley S� � 3� �3
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the�ty of Fridley 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 iMertor
plumbing. (Per City code 402.06) I also hold the City of Fridley and/'rts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) `� v ���""
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Phone Number ��"'� ��v � b�''t�v� Date �� '�_V"r � 1
Signature IA1'�tness Signature
OLD METER# t ���� ��
OLD READING � ! VJ l!���
NEW METER# ` {�"' ����
NEW READING �
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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
Prtor 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 corrtractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shail be notified. R 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 C(ty as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectioo has been made to the water service curb stop box or the sewer lead at the properly Itne or a wate��rvioe lead has
been extended to the property line for connection,the applicant,owner,or oceupant or user of such premises shall be liab�e 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 propeRy owner
requests mairrtenance service or repairs be performed by the City,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. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing 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 638,1156,1191)