Meter Swap �
� Request Number: 14465
Public Works Division
Service Request
Problem Address: 5200 Lincoln St Reqaested By: Jacob
Department: WATER Addreas: No ad�css provided
Problem/Issue: IN5TALL AMR METER Phone Number: 612-481-8389
Scheduled D�te: 2017-04-10 Scheduled 1lme: OT:00:00
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ACTION NEEDED: `
Created by: Wendy Hiatt Datc Created: 2017-04-03
ACTION TAI�N:
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Status: In Progress Snbmitter Has Been �..,
Co�Acted
Date Completed Com�etcd by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�lwe hereby authorize the tity of Fridley andJor its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all interior
p{umbing. (Per C'ity code 402.06) 1 also hold the City of Fridley andJits employees harmless for any damages that may o�r while doing this
operation. This to lndude.but not limited to valves,piping,waiis,floors or the curb stop box and service line. fn untlerstand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter} ✓�� � " ��
Name: �J��� Addreu � vl.�L� L�r.`-r'`/� ��
Phone Number �� Lr��`�$�g� �e ur � �' ��
Signature Witness Stgnature
OLD METER# ` �� � � � � �
OLD READiNG ��y t ( ��
NEW METER# `'� `��� � 1
NEW READING _�
E�,.# �12222 ��2
FRIDLEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANRARY SEWER
ADMINISTRATIOAI
{Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to construding o�repair of any water af sewer line connecting the existing municipa{system and arry house or building for which the
application is made,the owner or contractor shail 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 connedion has been made,the Water and Sewer Department shali be notified. It shall t�unlawful to cover
any conneding line unti{an inspection has been made and wch connection and tfie 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 water service lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of wch premises shali be liable for alt repsirs
required to any water line and sewer lines necessary for tonnection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be perFormed by the Clty,the property owner shail be charged for the tosts of the mai�ttenance and/or
repairs.including necessary street repairs at a rate set annually by an administrative policy. 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 including debris dearing or
root cutting and to mairrtain the water service curb stop box for operabifity and at such height as will enwre that it remains abo�re the finished
grade of the land or property. (Ref 638,1156,1191�