Meter Swap � Request Number: 14398
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Public Works Division
Service Request
Problem Address: 1587 Windemere Dr Requested By: Jerry 3ohnson
Department: WATER A+ddress: No a�ress provided
Problem/Isa�: INSTALL AMR METER Fhoae Number: 763-923-4913
5chedule 2017-04-13 Sehcdeled T[me: U7:30:00
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ACTION NEEDED:
Created by: Wendy Hi�t Date Created: 2017-03-29
ACTION TAKEN•
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Status: 1n Pro�ess Snbmitter Has Beea r
Conts�cted
Date Completed: Completed by:
Hours �� t��_
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City of Fridley
Water Department
6431 University Avenue WE
Fridley, MN 55432
763-572-3566
I/we hereby authorize the City of Fridiey and/or 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 all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while dar�this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am alw required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ����� ��
Name:� 16��mr Address �� �� � 1�"r/�•Q�I�Q. �
Phone Number ��)������� Date_ '"1� �����
Signature __ � Witness Signature
OLD METER# ���� ����
OLD READING r �/`�� r vV
NEW METER# �.� (�l) � � J�
NEW READING �
ERT# � ���� � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buildi�for which the
appiication is made,the owner or contrector shall be required to obtain a permit for such connection,and shall pay a permlt fee as provided in
Chapter 11 of this Code. After such con�edion has been made,the Water and Sewer Department shali be notified. It shafl be unlawfuf to wver
any connecting line until an inspection has been made and such connection and the work(ncident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AMD MAINTENANCE TO CONNECTION
After the initPal connection has been made to the water service curb stop box or the sewer lead at the property Itne or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupaM or user of such premises shall be liable for all repairs
required to a�y water line and sewer lines necessary for connection of the premises from the main to the premises. If the property�rner
requests maintenance service or repairs be performed by the City,the property owner shaii be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appliant,
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 and to maintain tfie water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)