Meter Swap .
c.
. Request Number: 15117
Public Works Division
Service Request
Problem.4ddress: 6230 Rice Creek Dr Requested By: Deirois
Department: WATER Addresa: No address provided
Problem/Isaue: INSTALL AMR METER Phone Number: 374-0042
Scbeduled Date: 2017-OS-04 �� Scheduled Tlme: 10:30:00
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ACIION NEEDED:
Createti by: Wendy Hiatt Date Crented: 2017-OS-03
ACIION TAKGN:
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Status: Tn Progress Submitter H�Beea �.,
Contacted
I?ate Completed: Completed by:
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City of Fridley S�� �,��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is Itable for the water line from the mafn to the premise and all interior
plumbing. (Per City code 402.06) I also hold the Cityt of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not{imited to vafves,piping,watls,ftoors 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 meter) �� � ��
Name• �'�.�w1� Address_`c/��� 1"C.Ti �� ��'�Y_
Phone Number � l�`W�� Date ,_ ) � '�1���
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Signature Witness Signature
OLD METER#__ �� (�` ��� cJ
OLD READING �"'I�"'� �U��
NEW METER# � d� 1� � I � '
NEW READING � l
E�# � t gl 2���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER '
ADMINtSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repaic of any water of sewer tine connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shali 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 untii 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 COPINECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repalrs
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 maintenance service or repairs be performed by the City,tbe property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaNy by an administrative poliry. It shalt be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris clearing or
root cutting and to maintai�the water service wrb stop box for operability and at sucfi height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,3191�