Meter Swap � �
Request Number: 15004
Public works Divis�on
Service Request
Problem Address: 6240 Stinson Blvd Requested By: Edward
Department: WATER Addre:s: No address provided
Problew/Iesue: INSTALL AMR METER Phone Number: 571-7826
Scheduled Date: 2017- -28 Sc�edale�Time: 01:00:00
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ACIION NEEDED:
�"' Cresited by: Wendy Hiatt Date Gre�ed: 2017-04-27
ACIION TAI�N:
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Status: In Progcess Submitter HAs Been r �
Co�rt�ted ,;,e
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Date Compteted: �y � �(?��I;`''f Completed by: ��') �p
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City of Fridfey ��� 2j�0�/
Water Departrnent �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iM;erior
pfumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to iec{ude,but not limited to valves,piping,walis,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 ME�R READING(old meter) ��v ���� �
Name:';:' [ �V�a-��=- Address �X/l7���./ C�1'—� i U«• 1 iv���`� , ;
Phone Number � `� � / ��� Date_ _ Y� � v � ��
Signature Witness Signature
OLD METER# C��� `�'� � � (1
OLD READING �V v ���
NEW METER# ���v / � - ! ✓
NEW READING O
ERT# ��� ! ��� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMR FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipat system and any house or bui{dir�g for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. It shall be unlawfui to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the Cty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line o�a water servic.e lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maiMenance service or repairs be performed by the C'�ty,the property owner shall be charged for the costs of the mai�enance and/or
repairs,including necessary street repairs at a rate set annually by an administrative pofiry. It shalf be the responsibil'ity of the applipM,
owner,occupant or user to perform standard maintenance of the sewer seevice line from the premises to the main inc{uding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as will ensure that it remairis above the�inished
grade of the land or property. (Ref 638,1156,1191)