Meter Swap � Request Number: 14622
Public Works Division
Service Request
Problem Address: 5269 Matterhorn Dr Requested By: Joanne Krueger
Department: WATER Address: 5269 Matterhorn Dr
Problem/Issue: INSTALL AMR METER Phone Number: 612-743-0973
Schedul ed Date: 2017-04-18 Schedul ed'I�me: 07:00:00
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ACITON NEEDED: Sa S va 1 v�.s /eu.�, v�/a.�er n�r a� �t,Qec� SGc� �,��
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Created by: Beth Kondrick Date Created: 2017-04-11
ACTiON T N•
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Status: In Progress Submitter Has Been C,
Contacted
Date Completed: Completed by:
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City of Fridley � v� ✓� ��
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�/We hereby authorize the City of Fridiey aod/or its empioyees 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 all interior
piumbing. (Per City code 402.06) 1 also hotd the City of Fridley and/its employees harmless for any damages that may oaur whiie doing this
operation. This to incfude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understarx!1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter)� �O ���
Name: ,1 C�-1'\_l�.___�-L_ � �`�'�1�1�� Address J Z�� ���'Y!'1 �Y"
Phoae Number � `�^��J^' O `�� Date_`-1'� 1�� ��
Signature Witness Sigrtawre `� ` �—
OLD METER# �u �a �� � �
OLD READING 1 �����
NEW METER# ��� � \ ��
NEW READ{NG �
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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 hause or building for which the
appliption is made,the owner or wntractor shall be required to obtain a permit for wch�nnectton,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. k shall be unlawful to cover
any connecting tine untii an inspection has been made and such connection and the work iacident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOM
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 Iead has
been eutended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connectio�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 shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuafly by an administrative policy. 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 maln Including debris dearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)