Meter Swap • �:� �
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�' �� �l jl� Request Number: 1 14
Public Works Division �
Service Request
Problem Address: 1581 Dana Ct Requested By: Clayton
Department: WA'IER Address: No address provided
Problem/Isaue: INSTALL AMR METER Phone Nwnber: 574-2471
SchedWed Date: 2017-08-01 Scheduled'Ilme: 10:00:00
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ACITON NEEDED:Turn off water so val�e can be replaced and install ANIlt.
Created by: Wendy Hiatt Date Created: 2017-07-20
ACTTON TAI�N:
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Status: 1n Progress Sabmitter Has Been r.
Contacted
Date Completed: �/���''] Completed by: ���� Sw�'^^'e�
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Ci�y of Fridley
Water Departrnent
6431 UniVersity Avenue NE
Fridley,MN 55432
763-572-3566
��`A/e hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. f understand that the properly owner is liabte for the water line from the main to the premise and alt iaterior
plumbing. (Per City code$02.06) I also hold the C"�ty oF Fridley and/its employees harmless for any damages that may acur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box aod senrice line. !rt understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READtN6(old meter)
Name• Address
Phone Number p�
Signature Witness Signature
OLD METER#
OlD READING
NEW METER# ,
NEW READING
ERT#
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMtNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior io constructing or repair af any water of server lirte cortnecting the existirtg municipal system and any house or buildirtg for whic�t�e
application is made,the owner or contractor shali be required to obtain a permit for sueh 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 Departmerrt shal!be notifFed. k shail 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 the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai con�ection has been made to the water service curb stop box or the sewer lead at the properly line or a water seMce fead has
been extended to the property line for connection,the applicarrt,owner,or occuparit 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 properly owner
requests mairitenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility vf the applicarit,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main i�cluding debris ciearing or
root cutting and to maintain the water service curb stop box for operabil"ity a�d at such height as will ensure that it remains above tf�e finished
grade af the land or property. (Ref 638,1156,1191)