Meter Swap Request Number: 14623
Public Works Division
Service Request
Problem Address: 1524 Windemere Dr Requested By: Jaclde
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-586-8160
Scheduled Date: 2017-04-18 Scheduled Time: 02:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-11
ACTION TAI�N:
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Submitter Has Been �� � '��
Status: In Progress Contacted C
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Date Completed: �� '�..��`7 Completed by:
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City of Fridley
Water Department ���. �2��
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I fwe hereby authorize the City of Fridley 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 ali interior
plumbing. (Per City code 4U2.06) 1 also hofd the C'ity of Fridley andjits employees harmless for any damages that may occur while doi�this
operation. This to include,but not limited to valves,piping,walls.floors or the curb stop box and service line. in undentand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READiNG(old meter) _ _ ����!�✓ �;D
Name• J(�-C���� Address-- ��o� 1 ��f �C��� �1!`.
Phone Number�� � ��� � ��`(�✓ Date V~r �~��
Signature Witness Signature �'
OLD METER# �V�� [ � �� I71 I � ��� ��.
OLD READING
� `�O �j � S�OIN
NEW METER# ���� �� cJ `
NEW READING �
ERT# �� ���0 ��✓
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 building for whid�the
applicatioa is made,the owner or wr�tractor shali be required to odtain a permit for such connection,and shall pay a permft fee as provided in
Chapter 31 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. ft shafl be unlawful to wve�
any conneding line until an inspedion has been made and such connection and the work incident thereto has been approved by ihe qty as a '�.
proper and su'�table connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION `
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be Itable for all repairs
required to any water line and sewer lines necessary for co�nection of the premises from tfie main to the premises. ff the properly owner
requests ma'sntenance service or repairs be performed by the City,the p�operty owner shall be charged for the costs of the maiMena�ce andla'
repairs,including necessary street repairs at a rate set annualiy by an administrative poticy. It shaN be the responsibiiity of the applipnt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main indudfng debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wil!enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)