Meter Swap Request Number: 14330
Public Works Division
Seivice Req�st
ProMem Address: 6710 Channel Rd Requested By: Ed
Departme�: WATER Address: No address provi�ed
Pro�em/Issne: INSTALL AMR METER Phone Nnmber: 612-369-1541
Sehednl 2017-43-31 Schedaied 1tme: 11:30:00
S? ! 1 �� O
AG7ION NEEDED:
CYeated by: We�y Hiatt Date Cres�ed: 201?-03-21
ACIION TAI�N:
i "�'��1 �1" V�
��u�,b-�,�' C� ��1 �r �a�.
Statas: In Pro ss Snbmitter H9s Been r
� Coutacted
Date Completed: Compieted by:
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City of Fridley
Water Department .
6431 University Avenue NE
Fridiey, MN 55432 `�(}�_. /�,`]����� � a /
763-572-3566 �� �
S o� 32��
��We hereby authorize the City of Fridley and/or its employees to do what ls necessary to
repiace 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�ty code 402.06) I also hold the City af Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER EADING(old meter) �`�-' �� � ��
Name: Address � ) D �Y�YL�
Phone Number �������_ �� I IDate �� J � � 1 �
Signature Witness Signature
OLD METER# �� v� �� `S 1
OLD READING��'� � ��
�
NEW METER# � `��U �� r�
NEW READING �
E�# �1, �°1Z t 2��
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 connecting the existing municipal system and any house or building for whkh the
application is made,the owner or contractor shall be requtred to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 aF this Code. After such connection has been made,the Water and Sewer Department shall be�otified. It shall be unlswful to cover
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 suitab{e connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTfON
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 service lead has
been extended to the property line for connection,the applicar�t,owner,or occupant or user of such premises shall be Pwble for all repairs
required to any water line and sewer lines necessary 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,tfie property owner shaN 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 N�e appltcaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to tfie main including debris dearing 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 638,1156,1191)