Meter Swap � Request Numher: 14434
r
pU�1C wOYk5 DIVISIOII
Service Request
Problem Address: 5173 Lincoln St Requested By: Nelin Nekora
Department: WA'IER Address: No ad�ess provided
ProbtemlIssue: INSTALL AMR METER Phoae Number: 763-571-0472
Schedoled Date: 2017-04-06 �5cheduted Time: 01:00:�
ACIION NEEDED:
Created by: Beth Kondrick Date Cres�ed: 2017-03-30
ACTION T.aI�N:
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�..._._ �__... _.__._____
Statas: In Progress Snbmitter Aas Been r
Contacted
Date Completed: Completed by:
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� City of Fridley ��� ��f�/
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley andjor its employe�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 irrterior
plumbing. {per City code 402.06) I also hold the Ctty of Fridley and/its empfoyees harmless for any damag�s that may occur while doiag this
operation. This to include,but not limited to vaives,piping,waNs,floors or the wrb stop box and senrice line. in understand 1 am also requfred
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � 1 v
Name: 1\��'Y� ' v+�J�N�, Address � ��� �� �
Phone Number�`�'�f������� Date �� ��,, t
Signature r WiMess Slgnature
OLD METER# I��O ����
OLD READING + �� � � �V
NEW METER# `�'l� w t�- 1�� I,
NEW READING �
ERT# � �������
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 repai�of any water of sewer line connecting the existing municipal sYstem and any house or building fw vrhich the
application is made,the owner or aorrtractor shail be required to obtain a permit fcr such connectlon,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. k shaN be unlawful 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.
4Q2.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been mede to the water service curb stop box or the sewer lead at the property fine or a water senrice lead has
been extended to the property Iine for connection,the appiitant,owner,or occ.upant or user af sucfi premises shall be P�able for all repairs
required ta any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applica�rt.
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains af�ve the finished
grade of the land or property. (Ref 638,1156,1191)