Meter Swap w
� Request Number: 15097
Pub�ic works Division
Service Request
Problem Address: 1400 Glacier Ln Requested By: Joyce
Department: WATER Address: No sddress provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-695-0604
Schednled 2017-0 -04 ,`„` 5cdedWed Tlme: 08:00:00
VI�-� � .
ACI'ION NEEDED:
Created by: Beth Kondrick D�ate Created: 2017-OS-02
ACIION TAI� •
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Statns: 1n Progress 5ebmitter Hss Been �,
Contacted
D�te Compteted: Completed by:
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City of Fridley � ,L �.,� �
Water Department �'�'-^
6431 University Avenue NE
fridley,MN 55432
763-572-3566
�/we hereby authorize the C'rty of Fridiey and/or its empioyees to do what is necessary to
rep�ace the water meter. 1 understand that the property owner is liable for the water line from the main to tfie premise and all ir�terior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur white doing tfiis
operation. This to include,but not limited to valves,piping,walis,floors or the wrb 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• Address�� l/V_�`�1i� �
Phor►e Number V� — �Date_ � —I ' ��
Signature Witness Signature
OLD METER# ��\ � `)� 1
OLD READING Z� �� �V
NEW METER# '�1 p-I O � F��
NEW READING�
ERT# � I � � �� �
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 line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as proWded in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shali 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 C7ty as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial tonnedlon has been made to the water service curb stop box or the sewer lead at the properly 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 liabie for all repairs
required to any water line and sewer fines necessary for connection of the prem(ses from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the C'rty,the property owner shall be charged for the wsts of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shatl be the responsibility of the applicarit,
owner,occupant or user to perform standard maintena�ce of the sewer service line from the premises to the main incfuding debris 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)
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