Meter Swap � Request Number: 15145
Public works Division
Service Request
Problem Address: 536 Cheri Circle Requested By: Dawn Johnson
Depsrtment: WATER Address: No address provided
Problem/lssue: INSTALL AMR METER Phone Number: 612-6�0-0740
Sc6eduled Dxte: 2017-OS-OS Schednled'I1me: 07:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Crented: 2017-05-U4
ACIION TAI�N:
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Status: In Progress Sabmitter Has Been �.
Coatacted
D�te Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
UWe hereby authorize the City of Fridley and/or its employees to do what is necessary 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 lrrterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridtey andjits employees harmless for arry damages that may occur while doing this
operatian. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) O ��� � ��
Name: 1�,�hr �v r v��h Address � �� �-'�� ��
Phone Number�O� ✓ �p�o— O��b Date _ ���� ��
Signature \� �tness Signature � '�
OLD METER#�,� ������
OLD READING V��� 4�ilJ
NEW METER# �,��� � � V�
NEW READING �
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ERT# �_ 1 �O( (�c���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,11A4,1156,1191)
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 co�rtrector shall be required to obtatn 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 Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made a�d 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 service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property line for connection,the applicant,oarner,o�occupant or user of such 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 premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,inctuding necessary street repairs at a rate set annuaNy by an administrative poiiry. It shall be the responsibility of 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 curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)