Meter Swap Request Number: 14699
Public Works Division
Service Request
Problem Address: 532 Cheri Circle Requested By: Tuyen Nguyen
Department: WA1ER Address: 532 Cheri Circle
Problem/Issue: INSTALL AMR METER Phone Number: 612-735-7699
SchedWed Date: 2017-04-19 Scheduled'l�me: 08:00:00
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ACTTON NEEDED: �
Created by: Beth Kondrick Date Created: 2017-04-14
ACTION TAI�N:
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Status: In Progress Submitter Has Beeu �,
Contacted
Date Completed: Completed by:
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City of Fridley �� � ��_ r �
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of FrFdiey and/or its employees to do what is eecessary to
replace the water meter. 1 understand that the properly owner is liable for the water line from the main to the premiae and all interior
plumbing. (Per City code 402.06) I also hold the C"rty of Fridley and/its employees harmless for arry damages that may oaur while doing this
operation. This to include,lwt not(imited to valves,piping,walls.floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) t✓ ��� ��
Name� �'h �V v ^ �` 6 Address -� .J� l_�Qir1 ��
Phone Number ��� � 1 Date �� l�✓ (�
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SFgnature Witness Signature
OtD METER#_ (�� J � � �
OLD READING � �� 1 ��
NEW METER# �- 1 vlJ�� � �
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 PERMlT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and any house or�ilding for which the
application is made,the owner or contractor shall be required to obtain a permit fo�such connection,and shall pay a pemtit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. R shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work iocident thereto 6as been apprrnred by the�ty as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOM
After the initial connection has been made to the water service 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 appticaot,owner,or occuparrt or user of such premises shall be tiabfe for atl repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maiirtenance service or repairs be per�ormed by the C'ity,the property owner shall be charged for the costs of the maiMenance 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 maintenance of the sewer service line from the premises to the main induding debris ciearing or
root cutting and to maiMain 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)