Meter Swap r
,' Request Number: 14648
Public Works Division
Service Request
Problem Address: 1032 Haclanann Circle Requested By: Kermit Gillund
Department: WA1ER Address: No address provided
Problem/Issue� INSTALL AMR METER Phone Number: 763-242-5577
Scheduled Date: 2017-04-20 Scheduled TSme: 09:00:00
- r ,
ACITON NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-12
ACTION TAt�N:
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Status: In Progress Submitter Has Been C,
��ontacted �
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Date Compieted: �,�� ,� `7 , Cbmpleted by:� . ��y
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. City of Fridley S� � ��� v
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-5723566
�/we hereby authorize the City ot Fridiey and/or its employees to do what is necessary to
replace the water meter. I understand that the property a�vner is liable for the water line from the maPn to the premise and all interio�
plumbing. (Per City cflde 402.06} i also hold the City of Fridiey and/its employees harmless for arry damages that may occur while dang this
operetion. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. in understand 1 am also required
to obtain a permit prior to arry work,if necessary.
FfNAL METER READING(old meter)
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Name: 17'G�� � V L VI�YI�(!- Address lV� T t ���.,�'�1,� ���
Phone Number ��� ~���_���� Date ` ^O�-' � ��
Signature Witness Signature
OLD METER# V �J v t��
OLD READING � � � l ✓V
NEW METER# 1� i v�U �� I� ' ,� �,�;s
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NEW READING O � �
ERT# � 0'�d�a•. �� � � �
'� '7�aa 3 31 I
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMR FEE
Prior to constructing or repair of arry water of sewer line connecting the exlsting municipal system and any house or buiiding 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 provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawfu{to cover
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENAPICE TO CONNECTION
After the initial connedion has been made to the water senrice curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,tfie applicarrt,owner,or occupant or user of such premises shall be liable for all 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
reguests mai+�tenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. R shalt be the responslbility 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 operability and at such height as will ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191)