Meter Swap ,
� Request Number: 15252
Public Works Division
Service Request
ProMem Address: 6701 Channel Rd Requested By: Jacqueli�Bergnan
Department: WA'IER Address: No a�ress provided
ProWe�/Issue: INSTALL AMR ME1ER Fhone Nwnber: 612-SO1-1133
Sctieduled Date: 2017-06-(}9 Schednlei 1ime: 08:30:00
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AClIaN 1V�EDED:
Crented by: Wendy Hiatt Dste Created: 2017-OS-10
ACTION TAi�N:
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Status: In Progress Submitter Ha�Been r
Contncted
Date Completed: Completed by:
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Hiatt, VI/endy
Subject: Jacqueline Bergman 612-501-1133 AMR appt got letters
Location: 6701 Channel Rd
Start: Fri 6/9/2017 8:30 AM
End: Fri 6/9/2017 9:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer. Hara, Sandra
Required Attendees: Hiatt,Wendy
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City of Fridley
Water Departrnent
6431 University Avenue NE S b � ��3
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. I understand that the propertyr owner is Itable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the C'�ty of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,pipin&walls,floors or the curb stop box and senrice line. In understand!am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)___ y �����V
Name• � �■`w'Address�� �/� � �
PhoneNumber� ` 1.- r�� Date � ^ v� `�
�5i�_�� Witness Signature_,��1�� �-----�_.
OLD METER# 1 �U O [� � lo
QtD READtNG � �1 �� ��,1
NEW METER# �"1 l��D 1�
NEW READING �
ERT# ����� ���
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
Prior to constructing or repair of any water of sewer line wnnecting the existing municipal system and any house or building for whkh the
application 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 ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to wver
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 witable connection.
402.06 REPAIRS AND MAfP1TENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines netessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the City,the propertyr owner shali be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main including debris clearirig or
root cutting and to maintain 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 638,3156,3191)