Meter Swap L ' Request Number: 15103
Public Works Division
Service Request
Problem Address: 5527 E Oberlin Circle Requested By: vckie-�operty manage REI
Properties
De�rtment: WA'IER Address: No address pmvided
Problem/Issue: IN5TALL AMR METER Phone Number: 61 Z-250-3014
Sc6edWe 2017-OS-04 � Schednied'ilme: 01:OO:QQ
L�
ACTION NEEDED:
Created by: Wendy Hi�t Date Cre�ed: 2017-OS-02 �
ACTTON TAI�N•
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- Status: Tn Progress 5nbmitter H�Been r,
Contacted
Date Completed: Completed by;
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City of Fridley �� ��/�
Water Department L�
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is�ecessary to
repiace the water meter. 1 understand that the property owner is liable fo�the water line from the main to the premise and alt interior
plumbing. (Per City code 402.06) 1 also hoid the City of Fridley and/its employees harmtess for any damages tfiat may ocwr 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(old meter) �
Name: ��'",k'��i Address_,���� ��jC,J` 1�� ��'�
Phone Number � V v���J��I�pate �� � � 4
Signature Witness Signature
OLD METER# v��� � �
OLD READING� �J v � �/�
NEW METER# � ��� � � �� �
NEW READING �
ERT# 1. � � I ��`�i J
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 constructing or repair of any water of sewer{ine connecting the exlsting municipal system and any house or building for which the
application is made,the owner or co►rtractor shall be required to obtain a permit for such connection,and shall pay a permtt fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water serv(ce lead has
been extended to the property line for connection,the applicant,owner,ar occupant or user of wch premtses 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,tfie 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 including debris clearing or
root cutting and to maintain the water seroice curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)