Meter Swap Request Number: 14566
Public works Division
Service Request
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Problem Address: 1520 Windemere Dr Requested By: Gail German
Department: WATER Address: No ad�dress provided
Problemllsst�e: INSTALL AMR METER Phone Number. 763-572-8118
Schednled Date: 2017-05-22 Scheduled Tlme: 02:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-06
ACIION TAKEN:
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_...__.__._._.__ ___. _ �:
Status: In Progress ���Fr Has Been r,
Co�ncted
Dxte Completed: �,�� � ✓;11`� Completed by: �
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, � �-2-� , 5 � � ��c� � C�1
� City of Fridley � ,f
Water Department � � �-t ?j� �
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�lWe hereby authorize the C�ty of Fridley andf or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is 4iaWe for the water line from the main to the premise and alt interior
plumbing. (Per City code 402.06) 1 aiso hold the City of Fridley and/'rts employees harmless for any damages that may ocwr while doing tfiis
operetion. 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 permit prior to any work,if necessary.
FINAL METER READING(old meter) � �� � � �� �
Name: �(1�.4 l "��f ��L+�v��, Address_ 1 �� �� �Y Y�tn l, �"1 '
Phone Number ��3 `5�� + ��{� � Date � y ��`' ��
Signature �tness Signature
OLD METER# 1��� � ` ✓
OLD READING �� � / �` �
NEW METER# � `�� �� 1"1
NEW READING �
ERT# ���� � 1��
FRiDLEY C1TY 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 PERMIT FEE
Prior to constructing or repair of arry water of sewer line cannecting the existing municipal system and any haise 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 such connection has been made,the Water and Sewer Department shall be notified. R shall be unlawful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial tonnection has been made to the water service wrb stop box or the sewer lead at the property li�e or a wate�service le�J has
been extended to the property line for connection,the applicaM,owner,or occuparrt or user of such premises shall be liable for all repairs
required to any water fine and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service os repairs be performed by the City,the property owner shall be charged for the wsts of the mai�enance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. ft sha{{be the responsibifity ofi the applipnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing 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)