Meter Swap �, ; Request Number: 14368
Public Works Division
Service Request
Problem Address: 5198 St.Moritz Dr Requested By: Kirk Myhra
Depsu�tmeut: WATER Address: No ac�ess provided
Problem/Isane: INSTALL AMR METER Phone Numbcr: 612-875-4495
Scheduled Date: 2017-04-04 Schednled 1lme: 10:0U:00
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ACIION NEEDED:
Created by: Beth Kovdrick Date Created: 201?-03-28
ACTION TAI�N:
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Status: Tn Pro�ess 5ubmitter Has Seen �..
Contacted
Dxte Completed: �}� „�� `"p Completed by:��'L�
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' City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1 jwe hereby authorize the Ctty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is fiable for the water line from the main to the premise and all interior
piumbing. (Per City wde 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occ.ur whtle dofng this
operation. 'fhis 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 READfNG(oid meter� � " ��
Name:�`L s"� Y 1 Address ���,� ��. D"�EJ 1��� �)'"'
Phone Number � �� � G��" " i (/L� Date �✓- + ` � �
Signature Witness Signature �
OLD METER# �
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OLD READING � v �� � v
NEW METER# I !P� ` ` ! �
NEW READING �
ERT# l o���� 1 V �
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FRIDLEY CITY CODE '
CHAPTER 402.WATER,STORM WATER qO�D SANITARY SEWER
ADMINISTRAT10111'" '' '
(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 buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter il 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 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 the initiai connection has been made to the water service wrb stop box or the sewer lead at the property line or a water senrice iead has
been extended to the property line for connection,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 oweer
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance aedjo�
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 pe�form standard maintenance of the sewer service line from the premises to the main inciuding debrys 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�nished
grade of the land or property. (Ref 638,1156,1191)
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