Meter Swap , Request Number: 14415
Public works Division
Service Request
Problem Address: 6889 Channel Rd Requested By: Barbara Olson
Departmcet: WA1ER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-350-1339
Scheduled Date: 2017-04-07 Se6ednled 1ime: 09:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201?-03-30
ACTION TAI�N:
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Stxtus: In Progress Submitter Has Been r,
Contacted
D�te Compieted: Completed by:
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. City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the Ctty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ail interior
piumbing. (Per City code 402.06) I also hold the City of Fridley andrts employees harmless for any damages that may occur white doing tfiis
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. 1�understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter � �� � ���
Name• �����_� ` Address � l/�� d,
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Phone Number /Y>�� ���` I J ✓� Date - `'" t'"�
Signature Witness Signature -
OLD METER# 6�� � � r O�
OLD READING ��� 1 ��`�
NEW METER# y"��� t �V
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 co�necting the existing municipal system arxi any house or building for whid�the
application is made,the owner or coMractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. It shall be unlawful to cover
any connecting line untit an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE 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 accupant or user of wch premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premtses. ff the property owner
requests maintenance 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 af the applicam,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service wrb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ret 638,1156,1191)