Meter Swap ' Request Number: 14296
Public Works Division
Service Req�st
Problem Addresa: 1439 Winckmere Dr Requested By: Mary Peterson
Departmeut: WATER Address: No address providcd
Problem/Issue: INSTALL AMR METER Phone Number: 571-4836
Schefiile ate: 2017-03-30 5ched�ie�1ime: 11:30:Q0
`7�' � t
ACIION NEEDED:
Crexted by: Wendy Hiatt Date Created: ZO 1�-03-24
ACTION TAI�N:
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-�� 5ubmftter Haa Been a��,,
; Status: In Progress Co�acted r '�
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Dnte Completed: ��2„�V�` Completed by.
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• City of Fridley �Cl � � �� �
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 liable for the water line from the main to the premise and ai)interbr
plumbing. (Per C'�ty code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ` �v �'��
Name: p�i � G ?d� Address ��,O I W Y/{�(}'(i��. !tJ Y:
Phone Number � �� ��� Date � ���/ ` ��
Signature Witness Signature
OLD METER# ��0� / ` ��/
OLD READING �/ l��� G
NEW METER# � 1 D���p� {
NEW READING v
ERT# � ( � � � � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1t9Zj
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer iine connecting the existing municipai system and arry house or building for whid�the
application is made,the owner or wntractor shall be required to obtain a permit for such connectfon.and shall pay a pe�rnit fee as provwded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be natified. It shal!be unlawful to coYer
any wnnecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
praper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC110N
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 urvice kad has
been extended to the property line for connection,the applicant,owner,or ocwpant or user of wch 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 aivner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the com of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service(ine from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as wilt enwre that it remains above the finished
grade of the►and or property. (Ref 638,1156,1191)