Meter Swap � Request Number: 14393
Public Works Division
Service Request
Problem Address: 1605 Berne Rd Requested By: David
Depnrtment: WATER Addre:a: No address provided
Probiem/Issue: INSTALL AMR METER Phone Number: 763-S02-935'I
Scheduled Date: 2017-04-07 Schednled'Rme: 09:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Gresited: 201`�"�Z9
ACITON TAI�N: •
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Status: In Progress Sabmitter H�Been r,
Co�acted
Date Com�eted: �—�� f� Completed by: �
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is{iab{e 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 and/its employees harmless for any damages that may occur while dang tbis
operation. This to include,but not limited to valves,piping,walis,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) �� ��O �D
Name• �Gl�j� Address l�V� ��� � -
Phone Number ���� �`�'� � l�✓� Date � —�� � C
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Signature Witness Signature �
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OLD READING i �v l� '`' '`"
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NEW METER# � 1�� �� ��
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)
4Q2.5 PERMIT FEE
Prior to co�structing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
appiication is made,the owner or corrtrador shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shatl be notified. It shall be unlawfu{to cover
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAfNTENANCE TO CONNECTION
After the initial connection has been made to the water sQrvice curb stop box or the sewer lead at the property line or a water service tead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection o�f the premises from the main to the premises. tf the property owner
requests mair�tenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repain,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 mairrtenance of the sewer service line from the premises to the main incloding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)