Meter Swap . Request Number: 14462
Public Works Division
Service Request
Problem Adddress: 1425 Creek Pazk Ln Requested By: Lisa Archer
Departme�: WA1ER A,ddress: No address�xovi�d
� Problerollssae: INSTALL AMR METER Phone Numbcr: 763-350-5364
ScheduledDate: 2 7-04-10 Schednled'Rme: 07:00:00
�. l �� '
ACIION NEEDED:
Crentcd by: Wendy Hiatt Dnte Created: 2017-04-03
ACTION TAKEN:
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Status: In Progress Snbmitter Has Been r
Coutacted
Date Compieted: (..�,_�('1`(�j Completed by: ��(�b
6 lJ ( ( 1�_c.
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� City of Fridley Sp � � ��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby autho�ize the City of Fridley andjor its empioyees 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 ptemise and all itrterior
plumbing. (Per City code 402.06) I alw hold the City of Fridley andrts employees harmless for any damages that may occur while doing this
operetion. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
fiNAL METER READING(o{d meter) ������0
Name: �'1� .�v`- �i�'K�V Address_ �" I�� �'C� ���� � `
Phone Mumber ���� ��� 1 ��"� Date �— �'v � � /
�
Signature Witness Signature
OLD METER# �� � / ���
OLD READING ���✓��6
NEW METER# ���� �� ` I
NEW READING �
ERT# ������ � 1
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 construding or repair of arry water of sewer line connecting the existing municipal system and any ha�se or buiidiag for whid�the
application is made,the owner or wntcactor shatl be required to obtain a permit for wch connection,and sfiall 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 unlavrful 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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the tnitial connection has been made to the water service curb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connectlo�,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer fines netessary for wnnection of the premises from the main to the premises. ff the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. 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 dearing or
root wtting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)