Meter Swap . �
Request Number: 14438
Public Works Division
Service Request
Problem Address: 5251 Fillmore St Reqaested By: Brenden Morales
Department: WATER Address: No address provided
Pr�/Issue: INSTALL AMR METER Phone Number: 651-258-4292
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�'�nled Date: 2017-04-07 SchedWed TYme: 0$:00:00
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ACITON NEEDED: -
Cre�f,ed by: Beth Kondrick Date Created: 2017-03-30
� ACTION TAI�N:
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Status: In Progess Submitter Has Been �
Contacted
Date Completed: � .� �]�)� Completed by:
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City of Fridley J� � �l��j2
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�lwe hereby authorize the City of Fridley and/or its employees to do what ts necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocau while doing this
operetion. 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.
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FINAL METER READING(old meter / �� O
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Name: ��� �� M (7(�CL�J Address �� ✓ � -I�'It I (Y'�-v1 �- ✓�.
Phone Number � ✓ � � O��V r " l���ate �� �� (�
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Signature Witness Signature
OLD METER# ��✓� D" 1 �O 3
OlD READING L 1 ����v
NEW METER# � ��V� � v I
NEW READING V
E�# �7aa�� � L► 1 =�
FRlDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repa[r of any water of sEwer line connecting the existing municipal system and any house or building for which the
appiication is made,the owner or contractor shall be required to obtaio 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 conneding 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 connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After tfie 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 extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable fo�all repairs
�equired 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 senrice or repairs be performed by the�ty,tfie property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. ft shall be the responsibility aF the appiiwM,
owner,occupant or user to perform standard maintenance of the sewer service ti�e from the premises to the main includi�deb�is 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)