Meter Swap � Request Number: 14565
Public Works Division
Service Request
Problem Address: 1504 Windemere Dr Requested By: Daniel
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-423-3500
Schednled Dxte: 2017-0 2 Sch�dnled Time: 08:30:00
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ACTION NEEDED:
Created by;� WendyHiatt Dnte Created: x 201?-04�06
ACTION: .
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Status: In Progress ���er H��een �, `. '
Contacted
DateCompleted: �` ��,�, f7 Completedby: Ja�,
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City of Fridley
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 neoessary 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 iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages that may ocwr while ddng this
operation. This to include,but not limited to valves,piping,walls,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) � ��� " ` D
Name: ��'��� � Address ��� 1 w `��'�' v 1�J�-
Phone Number W`�� 1�3 ��J�Date �` �'�� ��
Signature Witness Signature
OLD METER# ��� �" I ��l
OLD READING ���� �- l �
NEW METER# _` `� � -1,�
NEW READING d
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 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buildMg for which the
application is made,the owner or contractor shali 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 Departmerrt shall be notified. tt shail be unlawrful to�Ver
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the appliwnt,owner,or occupant or user of such 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. t�the property owner
requests maintenance service or repain be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
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 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)