Meter Swap � ,
Request Number: 14443
Public Works Division
Service Request
Problem Address: 1580 Rice Creek Rd Requested By: Kristin
Department: WATER Address: 1580 Rice Creek Rd
Fridley,MN 55432
Problero/Lssue: INSTALL AMR METER Phone Number: 763+-571-9375
Scheduled Date: 2017-04-06 Scheduled'I3me: 01:00:00
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� ACTION NEEDED:Rescheduled from missed appt.Please make sure to ring doorbell,resident says she ne�er
heard doorbell and was home at previous appt.
Created by: Beth Kondrick Date Created: 2017-03-31
ACITON TAI�N:
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: �—(Q,��,� Compteted by: �a�ce
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City of Fridley
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 liabte for the water Nne from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may oaur while ddng this
operation. This to include,but not limited to valves,piping,watis,floors or the curb stop box and service line. in understand i am alw required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meterj V�/ V
Name: ����I�J'3- �� Address �� �v ' "'`�'�i �,�Qi{� �� �
Phone Number � � J� ✓ l '� 1� /�Date � s `� � ��
Sig�ature Witness Signature
OLD METER# � b �� ��(/
OLD READING I �I ���/
NEW METER# � �0�/ � ���
NEW READING �
ERT# � ��`0�� � �O
FRIDLEY CITY CODE
CHARTER 402.WATER,STORM WATER AND SANIT�►RY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line 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 shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connedion has been made,the Water and Sewer Department shall be notified. It shall be unlawful to�ver
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 REPAfRS ATiD MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water senria lead has
been entended 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 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,the property owner shail be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall 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 including 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 property. (Ref 638,1156,1191)