Meter Swap Request Number: 14439
Public Works DPivision
Service Request
Problem Address: 6564 Pierce St Requested By: Martin
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 763-574-0204
Scheduled Date: 2017-04-28 Scheduled TTime: 10:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-03-30
ACTION TAI�N:
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Status: In Progress Submitter Has Beea �
Contacted
Date Completed: Completed by:
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City of Fridley ��� �� � �
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
Ijwe hereby authorize the City of Fridley and/or Its employees to do what u necessary to
replece the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and aff iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Frid{ey and/its empioyees harmless for a�y damages that may occur while dang this
operation. This to include,but not limited to valves,piping,walfs,floors or the curb stop boz and senrice line. in under.;tarxl I am also required
to obtain a permit pMor to any work,if necessary.
FINAL METER READING(old meter) ���� �
Name: i_�W��� Address 1��`�''1 ���� l�c.+ ��
Phone Number ���7r � �r(�� v" 1Date '� 1� v�r ��
Signature Witness Signature
OLD METER# � � �Z ��� I
OLD READING �E.�� 1 CJ ��
NEW METER# `""�� ! �—LJ (.����
NEW READING �
ERT# � �"2'"�"- i�1�'
FRIDLEY C17Y CODE
CHAPTER 402.WATER,STORM WATER AND SANfTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or�epair of any water of sewer line connecting the existing municipal system and any house or building for which the
application ls made,the owner or contractor sfiall be required to obtain a permit for such connection,and shall pay a permit fee as provided i�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shail be notlfied. It shall be unlswful to cover
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by tl�e City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for con�ection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to arry water tine and sewer lines aecessary for connection of the premises trom the main to the premises. {f the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,incfuding necessary street�epairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to pert'orm standa�d maintenance of tfie sewer service line f�om the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or praperty. {Ref 638,1156,1191)