Meter Swap � Request Number: 14471
Public Works Division
Service Request
Problem A�ddress: 1501 Camelot Ln Requested By: Dennis Dewing
Departmeut: WATEIt Address: No a�ress provided
Problem/Issue: IN5TALL AMR METER Phone Number: 763-572-1314
Scheduicd D te: 2017-04-07 � Schedulcd 1lme: 11:00:00
' Q.. 1 � ►
ACTION NEEDED:
Crested by: Beth Koa�ick Dste Crented: 2017-U4-03
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ACIION TAI�N:
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Statua: In Progress ���er Has Been r.
Cantacted
Date Compteted: � _� ,,,,, �� Completed by: ` ���
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City of Fridley � r,�j��� ' ���.�-�
Water Department ' �� �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the Clty of Fridley and/or its empioyees to do what is necessary to
replace the water meter. i understand that the properly owner is liable for the water line from the main to the premise and ali interior
plumbing. (Per City tode 402.06) I also hold the City of Fridley andrts employees harmiess for any damages that may oc.cur while doing this
operation. This to intlude.6ut not limited to valves,piping,walis,floors or the curb stop Iwx and service line. In understand 1 am also required
to obtai�a permit prior to arry work,if necessary.
FINAI METER READfNG(ald meter) ��� V v�
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Name: �� l �w Address �
Phone Number t� �` c! � 1�� Date y� V ✓ 4 /
Signature Witness Signature '�
OLD METER# 1��r`�'�
OLD READING �����/vV
NEW METER# 1 ��" y � v �
NEW READING D
E�# `��.��,3 �C��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAttY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,fi29,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line�nnectir►g the existing municipat system and arry house or building for wfiich the
application is made,the owner or tontractor shall be required to obtain a permit for such connection,and shall pay a perm�t fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer DepaKment shall be not�ed. It shall be unlawful to cover
any connecting line untif an inspection has been made and such connection and the work incident thereto has been approved by the C'ity as a
proper and witable connection.
402.06 REPAfRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service cvrb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property lioe for�nnection,tfie applicant,oMrner,or ocwpant or user of such premises shall be I(abie for all repairs
required to any water line and sewer lines necessary for connection of the prer►�ises from the main to the premises. If the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shaN be charged for the costs of the maiMenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shaH be the responstbility of the applicaM,
owner,occuparrt or user to perform standard maintenance of the sewer service line from the premises to the main including debris clesring or
root wtting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains ahove the finished
grade of the land or property. (Ref 638,1156,1191)