Meter Swap �
` Request Number: 14674
Public Works Division
Service Request
Problem Address: 1031 Hackmann Circle Requested By: Teri West
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-201-9059
Scheduled Date: 2017-04-21 5cheduled'I3me: 11:00:00
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ACITON NEEDED:
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Created by: Beth Kondrick Date Created: 2017-04-13 ;'�',�
ACTTON TAI�N:
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Status: In Progress Submitter Has Been �,
Contacted
Date Completed: �,,. 1 �✓ f� Completed by:����
Hours ���, �
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r City of Fridley CO�� 3� ��j
Water Department J
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. I understand that the property�rner is liable for the water line from the main ta the prem�se and all Irnerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for ar�y damages that may oaur whfle doing this
operation. This to indude,but not limited to valves,piping,walis,floors or the curb stop box and service Iine. In understand I am alw required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ��� � � �
Name: ��6 ""'+�� Address �D�' ��jL(J'V�-�I ���i'�—
Phone Number ���^ � ��' �0 5� Date " 1� � �• � � I
Signature Witness Signature �—
DI.D METER# V ! � 1 � � �/
OLD READING �� � 1 � L v - S Y�07�� I� ��� �����`_""-_"
NEW METER# ` 1,�� �� l � `
NEW READING o
ERT# ���0'��"` ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,624,638,662,922,988,1144,iZ56,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry 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 permk fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlarirful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been app�oved by the City as a
proper and suitable wonection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box o�the sewer lead at the property line or a water seMce lead has
been eztended to the property line for connedion,the applicaM,owner,or occupant or user of such premises shall be liable for all 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 mairrtenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility af the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water service wrb stop box for operabFlity and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)