Meter Swap �
� Request Number: 14775
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Problem Address: 1072 Haclanann Circle Requested By: Jeremiah Hackett
Departraent: WATER Address: No address�ovided
Problem/Iasne: INSTALL AMR METER Phone Nnmber: 6S 1-302-0366
Schednled Date: 2017-04-25 Sc6eduled Time: OS:00:00
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Created by: Beth Kondrick Date Created: 2017-04-18
ACT[ON TAKEN:
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Stat�: In Progress Sabraitter A�s Been �..
Co�acted
Date Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We fiereby autficrize the City of Fridiey and/or its employees to do what is nec;essary to
replace the water meter. 1 unden�tand that the property owner is liable for the water line from the main to the premis�and aN interior
pfumbing. (Per City code 402.06) 1 also hold the City of Fridley and(its employees harmless for any damages that may occur while doing this
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,ff necessary.
FINAL METER READING(oid meter)_ _� i v ! ��V
Name: J.C>�GW��►�X�, Y�Y%�Tf Address _ �a�� ����21/rY�.�V1 V�r
Phone Number`+�J L� �Z�O✓`��ate � ���' ��
Signature � Witness Signature
OLD METER# �V�I �iV��
OLD READING ��V`� � ��
NEW METER# "�1� 1� ����
NEW READING �
ERT# 1222Z�1 '� °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 construding or repair of any water of sewer{ine connecting the existing municipal system and any house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permft 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 shaii be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONWECTION
After the initial wnnection has been made to the water service curb stop box or the sewer lead at the properiy line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user aF such premises shall be liable for ali repairs
required to any wate�li�e and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maiMenance service or repairs be performed by the City,the property owner shall be charged for the casts of the maiMenance andJor
repairs,including necessary street repairs at a rate set a�nually by an administrative policy. It sfiall be the responsibility of the applicarit,
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 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)