Meter Swap ,
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Request Number: 14456
Public Works Division
Service Request
Problem Address: 6597 Lucia Ln Requested By: F.dward Lancello
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-8191
Scheduled Date: 2017-04-10 5chedaled'i3me: 11:00:00
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ACITON NEEDED:
Created by: Beth Kondrick Date Created: 2017-03-31
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ACTION TAI�N: �
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Status: In Progress Snbmitter Has Been �
Co�acted
Date Completed: Completed by:
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City of Fridley ��� ` ��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the properly owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the C1ty of Fridley and/'ds employees harmless for any damages that may occur while doing this
operation. This to include,but not Ilmited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� � � �O
Name: {��,�ISN�t�- ����� Yl? Address ���� `� - �� `r " �'
Phone Number�4� �J~� 4`� V�� Date -l���� `�
Signature Witness Signature
OLD METER# ��� �����
OLD READING ��� � � �
NEW METER# "1�� W�J ' I
NEW READING �
ERT# � l�� l� �� ��
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 repair of any water of sewer line connecting the existing municipal system and any house or building for whid�the
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shall pay a permk fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be eotified. It shall be unlawful to cover
any tonnecting 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 suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water senrite lead has
been extended to the properry line for connection,the applicant,owner,or occupaM or user of wch 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 oweer��
requests maintenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repain,including necessary street repai►s at a rate set annually by an administrative policy. lt shall be the responsibility af the app{icaM,
owner,occupant or user to pert'orm standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such heigfit as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)