Meter Swap �
. - Request Number: 14250
Public Works Division
SeYvice Request
Problem Address: 1646 Gardena A� Requested By: Ierry Jolmson
Department: WA'IER A�dresa: No addresa providod
Problem/Issue: INSTALL AMR METER P6oee Number: 572-0238
ScLedal�d ate: 2017-03-29 � Schedaled'IIme: 11:00:00
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ACRION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-03-22
ACIION TAI�N:
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Status: In Progress , Seb�itter H�a Bse� �.,
Coet�cted
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Date Completed: 3^a,�--'� Completed by: J,,� L ,�
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� City of Fridley �� � �j � ..���
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�1�+e hereby authorize the City of Fridley and/or its employees to do what is neoessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.061 I also hold the City of Fridley and/its employees harmless for any damages that may oca�r 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) _ �V / U�D
Name: �er v Address_ �� W/ l.J��P�'� �V C•
Phone Number 5�a v��J p Date � a" � � ��
Signature Witness Signature
OLD METER#I� 1 �P ( �� J
OlD READING <�����
NEW METER# �1�o�a 51 �
NEW READING v
ERT#_ � � � � � 1 VJZ
FRfDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNfSTRATION
(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 line connecting the extsting municipal system and any house or building for which the
application is made,the owner or wntractor shall be required to obtain a permit for such 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 Department shall be not�ed. It shail be unlawful to cover
any connecting line until an inspection has been made and such wnnection 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 co�nection has been made to the water service cur6 stop box or the sewer lead at the property line or a water service lesd has
been extended to the property line for connedion,the appliwnt,owner,or occupant or user of such premises sfiaN be{iable for aii 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 maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administretive poliq. 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 induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remair►s above the fnished
grade of the land or property. (Ref 638,1156,1191)