Meter Swap �
Request Number: 14273
Public Works Division
Service Request
Problem Address: 1660 Mississippi St Requested By: Rich Olson
Department: WATER Addre:a: No address provided
ProMem/rssue: IN5TALL AMR METER Phone Number: 571-8126
5chedW ed Dnte: 2017-03-31 Schednled'If�ne: 08:00:00
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ACIION NEEDED:
Created by: Wendy Hi�t Date Created: 2017-03-23
ACIION TAI�N:
i�.S�1�� ���.
Statas: In Progress 5nbmitter Has Been r.,
Coutacted
Date Compteted: Completed by:
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City of Fridley
Water Department
b431 University Avenue NE
Fridley, MN 55432
763-572-3566
�1We hereby authorize the City of Fridtey andJor its empfoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabfe tor the water line from the main to the premise and all tnterior
plumbing. {Per City code 402.06) i also hold the City of Fridley and/'rts employees harmless for any damages that may occur while doing thts
operation. Thts to include,but�ot limited to valves,piping,walls,floors or the curb stop box and servtce line. in unc�rstand 1 am a�so required
to obtain a permit prior to any work,if necessary.
FlNAL METER READIN6(old meter) �� �� � ��
� ��Name: ��G ��V� __ Address 17C-'� `5�t'�j(��
Phone Number � 1� 1"� V 4� Date_ �� �����
Signature Witness Signature
OLD METER#_L[U� _ ) !J�_1 Z
C, C
OLD READiNG � 72—� J�
NEW METER# � t D C/ !��� �
NEW READING_�J
ERT#—__` � �� 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)
4�2.5 PERMIT FEE
?rior to constructing or repair of any water af sewer line connecting the existing munPcipal system and any house or buifding for which the
appliption 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
Chapte�11 of this Code. After wch connection has been made,the Water and Sewer Depactmer�t shall be not�ed. It shati be unia�aful to cover
any connecting line until an inspectio�has been made and sucfi 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 ltne or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupam or user of such premises shall be liable for ali repairs
requfred 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 shall be charged for the costs of the mai�enance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shaN be the responsibiiity of the applicaM,
owner,occupant or user to perform standard maintenance af the sewer service line from the premises to the ma�n indudi�debris cJearing or
root cutting and to mair�tain the water servtce curb stop box for operability and at such fieight as wili ensure that it remains above the finlshed
grade of the land or property. (Ref 638,1156,1191)