Meter Swap -- Request Number: 14275
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PI1�IC WOI�S D1V1S10I1
Service Request ,
Problem Address: 5251 Taylor St Requested By: Jerry Syp�nieski
Department: WA'IER Address: No ac�ess provi�d
Problem/Tsaue: INSTALL AMR METER Phone Number: 6S 1-269-3733
Schednled Dste: 2017-03-30 5cheduled'Rme: 01:00:00
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ACTION NEEDED:
Created by; Wendy Hiatt Date Created: 2017-03-23
AC7I N TAI�N:
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Contacted
Date Completed: Completed by:
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` City of Fridley
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Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
UWe hereby authorize the Ctty 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 alt interror
plumbing. (Per City code 402.06j 1 also hold the City of Fridley andJits employees harmfess for arry damages that may oaur while doing thts
operation. This 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 permh prior to any work,if necessary.
FINAL METER READING(old meter) � J� � �`�' �
Name• J � qddreu_ ��� � �'�'�`7 ��`
Phor►eNumber �J !O� '���e_�'' �0"' I
Signature __ Witness Signature
OLD METER# (� �2-�v� '
OLD READING _ (��b �j�Q
NEW METER# � l�lJ� �CJ Ir O
NEW READING �
ERT# � ' � � ` � � �
FRIDLEY CITY CODE
CHAPl'ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,6fi2,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and an�house or buildieg for whkh 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 such connection has been made,the Water and Sewer Department shall be n�ed. It shall be unlawFul to wver
any connecting line until an inspection has been made and such connection and tbe work incident thereto has been approved by tfie City as a
proper and witable connedion.
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 or a water seMcr lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shaii be liable for all repairs
required to any water line and sewer(ines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or�epairs be performed by the City,tfie property owne�shall be charged for the costs of the matMenance and/or
repairs,including necessary street repairs at a rete set annualfy by an administrative poliry. It shall be the responsibility of the appliwnt,
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 a�d to maintain the water service curb stop box for operability and at such height as wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)