Meter Swap � Request Number: 14943
�Public Works Division
Service Request
Problem Address: 1517 Berne Circle Requested By: Robert Saba
Department: WATER Address: No a�ress provi�d
ProblemlLasue: INSTALL AMR METER Phone Number: 763-286-6689
� Schedaled Date: 201?-04-27 Sc6edaled 11me: 07:30:00 �
n `'� ;3�
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-25
� ' � ACTION TAI�N: �� �
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Status: In Progress Sabmitter Has Bee�i �
Coatacted
D�te Completed: � �� �� Completed by: � `, �
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f City of Fridley �� ✓�� �
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City af 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 interior
plumbing. {Per City code 402.06) i also hold the City of Fridley andrts employees harmless for any damages that may oaur while dotng this
operation. Tfiis to inciude,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. In understas�d{am also required
to obtain a permit prior to any work,if necessary.
FINAL MET�R READING(o{d meter) � � ! �� ` �
Name: _ ���T J�=Y� Address ��l [ �"' i� �(�`�J�'�.
Phone Number ��� �cNf� `f��� Date �r � t `"'� ��
Signature Witness Signature
OLDMETER#_ ��`��✓��w
OLD READfNG � l� l C�
NEW METER# �� `� ��� �
NEW READING �
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FRIOLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,92Z,988,1144,1156,1191�
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer ilne connecting the extsting municipal system and any house or butlding for which the
appliption 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 11 of this Code. After such connection has been made.the Water and Sewer Departmer►t shali be notified. tt shail be unlawful to cover
any connecting line until an inspedion has been made and wch connection and the work incident thereto has been approved by the Cty as a
proper and suitable connection.
4fl2.06 REPAfRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service turb stop box or the sewe�lead at the property line or a water service lead has
been extended to the property line for connection,the appticant,owner,or occupant or user of such premises shall be liabie for ail repairs
required to any water line and sewer li�es necessary fos connection of tfie premises from the main to the premises. If the property owner
requests maicrtenance service or repairs be performed by the City,ihe 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 policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maiMenance 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 wili ensure tfiat it remains above the finished
grade of the land or property. (Ref 638,1156,1191) �
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