Meter Swap Request Number: 14676
Public Works Division
Service Request
Problem Address: 5402 Madison St Requested By: Carrie Flores
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-442-2139
Scheduled Date: 2017-04-21 � Scheduled'ISme: 09:00:00
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ACITON NEEDED:
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Created by: Beth Kondrick Date Created: 2017-04-13
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Subcnitter Has Been =�
Status: In Progress G' �'�
Contacted
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City of Fridley ��� �� �
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
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all ir�terior
plumbing. (Per City wde 402.06) i also hoid the City of Fridley and/its emqloyees harmless for any damages that may ocair while doing this
operetion. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN6(old meter) �� �� � �
Name: �r'be ����°i5 Address ��V � �� �r .
Pkone Number k�`�' � l�� '� /�� Date ���� � � l
Si nature ~�'
g Witness Signature
OLD METER# � ! �� ���(/ �"
OLD READING ���� ��
NEW METER# 1 I�V VO"-l I
NEW READING �
ERT# ��`�p�—� i �
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FRIDtEY 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 buiiding for which the
applicatian is made,the owner or cor�tractor sha{I 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 unlawfui 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 inttiai connection has been made to the water service curb stop boz or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicar�t,owner,or occuparrt or usQr of such premises shal{be liab{e for aff repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shali be charged for the costs of the mairrtenance aod/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard mairrtenance 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 operabiltty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)