Meter Swap Request Number: 14487
Public Works Division
Service Request
Problem Address: 5202 Pierce 5t Requested By: Robert Engler
Department: WA'IER Address: 5202$ierce St
Fridtey,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 163-571-9067
Scheduled Date: 2017-04-14 Sc6ednled 1Sme: 02:QO:QQ
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Created by: � Beth Kondrick Dnte Created: 2017-04-03
ACTION TAKEN: �
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Status: In Progress Submitter Nns Been �
Contacted
Date Completed: � ��,-��l� Completed by:
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City of Fridley �jf T� � �P�j�
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�1We� hereby authorize the City of Fridley and/or its employees to do what is�ecessary to
replace the water meter. 1 understand that tfie properly owner is liable for the water line from the main to the premise and all interior
piumbing. (Per C'ity c4de 402.06) 1 also hotd the C'�ty of Fridley and/'Ks employees harmiess fo�any damages that may oaur white doing this
operation. This to include,but not limited to valves,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 READlNG(old meter) ��v�� �
Name: _ I,w�T'V " �'N� Address ��� df' ��� tiG �
Phone Number ��� _ ���`��� / Date V`� ��`���
Signature Witness Signature
OLD METER# v ! ✓ �/�
OLD READING � G � L ✓ �
NEW METER# � y�v / `���
NEW READING v
ERT#_ ��oLl ��`'(Il �
FRIDLEY CITY CODE
CHAPTER+402.WATER,STC?RM WA7ER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
P�ior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buiiding for Mrhich the
app{ication 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 ii of this Code. After such connection has been made,tfie Water and Sewer Department shall be notified. it shall be unlawful to cover
any connecting line until an i�spection has been made and such connection and the work incident thereto has been approved by the C'�as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTfON
After the initial connection has been made to the water service curb stop box or the sewer lead at the property Ilne or a water se�lead has
been extended to the property line for connection,tbe applicar�t,owner�or occupant or user of such premises shail be liable for all repairs
required to any wate�line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requesks maintenance service or repairs be perFormed by the City,tfie property owner shall be charged for the costs of the maiMenance andjor
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shafl be the responsibitity of the applicaM,
owner,occupant or usQr to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operabii'rty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)