Meter Swap L. �
Request Number: 14621
Public Works Division
Service Request
Problem Address: 980 Mississippi St Requested By: Michael Zmuda
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-385-0986
Scheduled Date: 2017-04-22 Scheduled'Iime: 08:00:00
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ACTION NEEDED:
Created by: Beth Kondtick D�te Created: 2017-04-11
ACTION TAKEN:
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Status: In Progress Submitter Has Been �.,
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41I�''e Completed: Completed by:
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City of Fridley cn� �/_��
Water Department >�� �l
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby autho�ize the City of Frtdley 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 all lrrterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inciude,6ut not limited to valves,piping,wa{Is,floors or the curb stop box and service iine. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� •� ��
Name: 1 ' \'\Lr`Q►Q' ��U�� Address 1� ���SSJ� � •
Phone Number ���� ��J�a!�� Date �-u'' �,
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Signature Witness Signature
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; -- .�LD METER#
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OLD READiNG S -� �
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NEW METER#
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NEW READ{NG J�� . _ _ _
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FRIDLEY CITY CODE �1���.
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�02.5 PERMIT FEE
Prior to constructing or repair of any water of sewer Iine connecting the existing municipal system and any house or butldi�for which the
application is made,the owner or contrador 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 Department shall be notified. It shall be unlawFul 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 initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water servia kad has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such 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 owner
requests mair►tenance seroice or repairs be performed by the C'�ty,the property owner shaii be charged for the costs of the maintenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main including debris dearing or
root artting and to maintain the water service curb stop box for operabitity and at such height as wiU ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,3191)