Meter Swap r ;
Request Number: 14448
Public Works Division
Service Request
Problem Address: 6500 Lucia Ln Requested By: Renza Moric
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 612-532-5057
Scheduled Date: 2 17-04-06 SchedWed'lime: 11:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-03-31
ACTION TAI�N:
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5tatus: In Progress � Submitter Has Been G
Contacted
Date Completed: Completed by:
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City of Fridley S`� � ����L/
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is liable for the water line from the main to the premtse and all interior
plumbing. (Per Ctty code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oavr while doing this
operation. This to include,but not limited to valves,piping,wa{Is,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meter) �
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Name• Address YJ� �V�'� �N
Phone Number Date L�� � ��
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Signature � ��� Z! � Witness Signature
OLD METER# �(.�� 1 ����
OLD READfNG �0�`"l � ��
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NEW METER# �w.;�����-:��
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NEW READING W
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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 constructing or repair of any water of sewer line connecting the existing municipal system arn!arry house or building for which the
appliwtion is made,the owner or contrador 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 Departmerit shall be notified. ft shaif 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.
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 tine or a water sarvice lead has
been extended to the property line for con�ection,the applicant,owner,or occuparrt or user af such premises shall be liable for all repairs
required to any water line and sewer lines necessary for wnnectton 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 wsts of tfie maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shail be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises ta the main including 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 above the flnished
grade of the land or pruperty. (Ref 638,1156,1191)