Meter Swap �
,� Request Number: 16420
Public works Division
Service Request
Problem A,ddress: 6199 Heather PI Requested By: Jim Lily
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 1-904-316-3633
Scheduled at : 2017- -24 � Sc dnled 11me: 08:30:00
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AC1iON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-21
ACTTON TAI�N:
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Status: In Progress Snbmitter Has Been r
Coutacted
Date Completed: Completed by:
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City o#Fridley
� Water Departrnent S �� ���
� 6431 University Avenue NE
Fridley,MN 55432
7fi3-572-3566
��We hereby authorize the Ctty of Fridley artd/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plurnbing. (Per Gty code 402.06) 1 aiso hold the City of Fridiey and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not lim�ted to valves,piping,walls,floors or the curb stop box and service line. in understand I am also required
to obtai�a permit prior to any work,if necessary.
FiP1AL METER READtNG(old meter� ` b � � ""'`�
Name• � ��' Address � �(_ �
Phone Number '��' "'� ��r'2. �' �,�
�js�g�tu�e Witness Signature
OLD MEfER# ����2--��
OLD READING ���'v��
NEW METER# �- 1��jJ c� � � J
NEW READING �
ERT# � � 1 � i �` �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER APID SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to coostructing or repair of any water of sewer line connecting the existing municipai system and any house or buiiding for which the
appiication is made,the owner or contractor shall be required to obtain a permifi for such connection,and shali pay a permit fee as provided in
Chapter 1Y of this Code. After such connection has been made,the Water and Sewer Departmerit shal(be notified. It shall be uniawful to cover
any connecting 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 MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a warter 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 lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the�ty,the property owner shall be charged for the wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user Yo perForm standard maintenance of the sewer senrice line from the premises to the main includirtg debris clearing or
root cutting and to mairrtain the water service cur6 stop box for opera6il"�ty and at such height as will ensure that it remains above the�nished
�rade of the land or property. (Ref 638,1156,1191)