Meter Swap Request Number: 14417
Public Works Division
Service RequQst
Problem Address: 580 Cheri Ln Requested By: Charles Johnson
Depnrtraent: WATER Address: No address provided
Problemllssue: INSTALL AMR METER Phone Number: 763-572-9288
Scheduled Date: 2017-04-06 Sc6eduled 11me: 10:3U:00
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ACITON NEIDED:
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Created by: Beth Kondrick Dnte Created: 2017-03-30
AC'IION TA[�N: �
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Status: In Progress Submitter l�s Been r.
Contacted
D�te Completed: �.t�� l� Compteted by: �a�,�
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City of Fridley S(� � 2����r,
Water Department T
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the Clty of Fridley and/or its employees to do wltiat is nec�ssary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per Crty code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while dang this
operation. This to include,but not limited to valves,piping,wails,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 READING(old meter) ����� �
Name: ����7 ���� Address �v �-� Y�1 'i � `
Phone Alumber �`G�" � I� �'�j�ate t � `� ` � I
Signature Witness Sig�ature '��
OLD METER# ��� �7 ��c� � �� I �Z' l � � /
OLD READING ol� lo�� �
NEW METER# � 10"D f / ,� I
NEW READING b
ERT# ��o�� �J ��
ERIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
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 whtch the
appiication 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 11 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 until an inspection has been made and such connection and the work incident thereto has been approved by�e City as a
proper and suitable connection.
402.06 REPAIRS AMD MAINTEMANCE TO CONNECTION
After the initial wnnection has bee�made to the water service 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 applicant,owner,or occupant or user of such premises shall be liable for all repairs
requi�ed to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintena�ce service or repairs be performed by the City,the property owner shall be charged for the cosis of the maiMenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibiltty of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to tfie main induding debris clearing 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)