Meter Swap ,
` Request Number: 14474
Public Works Division
Service Request
Problem Address: 6684 Fridley St Requested By: Ste�ne
Departmeat: WATER Address: No address provided
Problem/Isa�: INSTALL AMR METER Phoae Numbcr: 763-574-0195
Schedeled D e: 2017-04-07 Schedulad 1lme: 11:00:00
`'�.' 1
ACTi�N NEEDED:
G�eated by: Beth Kondrick Date Created: 2017-04-03
ACI'ION T�4KEN:
� V���-e�.� � ,�M/�-
Statas: In Progress �bmitter H�Been r,
Coetacted
Date Co�ptcted: Completed by:
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: ~ City of Fridley J�����r
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
IJwe hereby authorize the City of Fridley and/or its employees to do what is 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 iMertor
piumbing. (Per City code 402.06J I also hold the City of Fridley and/its employees harmless for arry damag�s that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box aod service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ✓ � �" � � �� "'
Name:� �/ Address ��1 �, �
Phone Number��(J'���_F^V���p�e ���, ^' ��
Signature Witness Signature
OLD METER# I� �� �� �J" I
OLD READING � � � � � - l v
NEW METER# " r ►`� �. 1 E.� �J
NEW READING O
ERT# � �Z�Z�� �
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 arry water of sewer line connecting the existing municipal system and arry house or buildi�fw which the
applicat9on is made,the owner or contractor shali be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connedion has been made,the Water and Sewer Departme�shall be notified. it shall be unlawful to cover
any wnnecting line until an inspedion has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and suitab{e connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at tbe property line or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for al{repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by ihe City,the property owner shall be charged for the�sts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibitity af the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain 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 638,1156,1191j