Meter Swap s •
Request Number: 14459
Public Works Division
Service Request
Problem Address: 5412 Madison St Requested By: Linda
Department: WATER Address: 5412 Madison Street
Problem/7ssue: INSTALL AMR METER Phone Number: 763-572-9223
SchedWed Date: 2017-04- 0 Sc6eduled 1Sme: 08:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2Q17-03-31
ACTION T N:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
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City of Fridley
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Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/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 ail interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may o�r while doir�this
operation. This to include,but not limlted to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL ME7ER READING(old meter) ���� ��O
Name:�`i�113� Address J��� �r `�v''�c� �\
Phone Number L?����r � 1�If� Date �� f� � l
Signature �l� 11 Witness 5ignature
OLD METER# �� !.�f �O ��
OLD READING V��� � J4
NEW METER# Y Y��-�./ � �
NEW READING �
ERT#_� �Z� J�OL�
FRlDLEY 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 fw which the
application is made,the owner or contractor 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 Departmerrt shall be notiFied. It shail be unlawFul to co�r
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 suttable 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 pra�erty qne or a water se�lead has
been extended to the property line for connection,the applicant,owner,or oauparrt 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. ff the property owner
requests maintenance service or repairs be performed by the City,the property owne�shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main indudtng 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 property. (Ref 638,1156,1191)