Meter Swap �
Request Number: 14429
Public Works Division
Service Request
Problem Address: 6220 Rice Creek Dr Requested By: Dennis Christenson
Department: WA'IER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 612-636-4534
5cheduled Date: 2017-04-19 Scheduled TSme: 10:30:OQ
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ACTTON NEEDED:
Created by: Beth Kondrick Date Created: 2017-03-30
ACIIUN TAI�N:
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Status: In Progess Subaritter Has Been G
Contacted
Date Completed: � I Completed by: ���
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' City of Fridley SV-µ- � �J��
Water Department
6A31 University Avenue NE
Fridley,MN 55432
763-572-3566
Ijwe hereby authorize the City of Fridley andJor 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 iMe�ior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj__ _ �� ����v
Name: ���1 n�S l�l l����J�TJi7� Address lX�t�� 1�-�G V�L7�� �.
Phone Number "��Z� W w'� 4�� J Date ��� / � �` I
Signature Witness Signature
OLD METER# 1,��v LJ l ✓�
OLD READING ����"—�
NEW METER# � 1'^� � v� �
NEW READING �/
ERT# � �� � � 1 ` U
FRfDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,46�4,565,566,629,638,662,922.988,1144,1156,1191)
442.5 PERMIT FEE
Prior to construding or repair of any water of sewer tlne�nnecting the existing municipal system and any house or building for which the
applicatio�is made,the owner or contractor shall be required to obtain a permit for such wnnedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Wate�and Sewer Department shall be not�ed. It shafi be uniawfu!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 tfie initiai connedion has been made to the water service curb stop box or the sewer lead at the properly line or a water service leacf has
been extended to the property line for connedion,the applicant,owner,or ocwpant or user of such premises shall be liable for all repairs
�equired to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the properly owner
requests maintenance seroice or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repain,Including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupar�t or user to perform standard maintenance of the sewer service line from the premises to tfie main induding debris dearing or
root cutCing and to maintain the water service curb stop box for operability and at such beight as will ensure that it remai�s above the finished
grade of the land or property. (Ref 638,1156,1191)