Meter Swap t
f Request Number: 14537
Pubtic Works Division
Service Request
Problem Addresa: 1494 Creek Park Ln Requested By: Ronald Newport
Department: WA1ER Address: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-1546
Scheduled Date: 2017-04-17 5c6edoled 11me: 09:00:00
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ACIION NEEDED:
Crcated by: Beth Ko�rick Date Created: 2017-04-OS
ACTION TAI�N: � n
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Statua: In Prog�ess Sabmitter Haa Been �,
Co��ted
Date Completed: i�� l�]�. '� Completed by: `
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City of Fridley C� � ���
Water Department `'
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we 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 liabie for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/'�ts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,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(o d meter) � ������
Name• 1� � Address � �� L- � .
Phone Number �"�+'� ^ �� ^ '�- L K� Date �� � � G � ` `
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Signature Witness Signature
OLD METER# �OVO 1� I v�
OLD READING �� `�" `�'�
NEW METER# � F�U��� �
. NEW READING V
ERT# �p����C'D�
FRlDLEY 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 buildir�g for which the
application is made,the owner or contrector 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 Department shall be notified. It shall be unlawful to�ver
any wnnecting 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 suitabie connection.
4fl2.06 REPI4IRS AND MAINTENANCE TO CONNECTION
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 service lead has
been entended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary fo�wnnection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shaft be charged for the costs of the mairrtenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative potiry. It shail be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of Che sewer service line from the premisQs to the main induding 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)