Meter Swap ` � Request Number: 14440
Public Works Division
Service Request
Problem Address: 1463 Windemere Circle Requested By: Bruce Larson
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR ME'TER Phone Number: 763-574-0204 '
Scheduled Date: 2017-04-06 Scheduled Time: 07:00:00
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ACITON NEEDED:
Created by: Beth Kondrick Date Created: 2017-03-30
ACTION TAKEN:
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Status: In Progress Submitter Has Been � '
Contacted
Date Completed: Completed by.
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City of Fridley 5 a � 3 3�-�
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
1/we hereby authorize the City ot Fridley andjor its employees to do what is necessary to
repiace the water meter. I understand that the property owner is liabie for the water line from the main to the premise and all irrterior
plumbing. (Per G'�ty code 402.06) f also hold the City of Fridley andjits employees harmless for arry damages that may oaau white doing this
operetion. This to include.but not limited to valves,piping,walis,floors or tfie curb stop box and service line. in understand 1 am aiso requtred
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) 1 � w � � v v
Name: !J r V� '�'�d� Address l � �� W 1 r�Y1n Q� l.,j 1 /_'
Phone Mumber t rJ� ~ � 1 Date �~ � � 1�
Signature Witness Signature
OLD METER#__L�(_)�� �� � I
OLD READING "�'�l ��l ���
NEW METER# � r� et��.JO�
NEW READtNG �.l
ERT# t ���� � ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATIDN
(Ref Ord No 113,46�4,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water af sewer tine connecting the existing municipal system and any house or buiiding for Mrhich 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 con�ection has been made,the Water and 5ewer Department shali be notified. It shall be unlawful to rnver
any connecting line ur�til an inspection has been made and such connection and the woric incident thereto has been approved by the City as a
proper and suitable connection.
4fl2.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box ar the sewer lead at the property fine or a water service lead has
been extended to the property line for connection,the applicant,owner,or ocwpant o�user of such premises shail be liabie 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 p�operty owner
requests maintenance service or repairs 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 annuaily by an administrative poliry. ft shatl be the responsibility af the applicar�t,
ow�er,oaupant or user to perForm standard maintenance of the sewer servke 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 wiil ensure that�t remains above the finished
grade of the land or property. {Ref 638,1156,1191)