Meter Swap � Request Number: 14842
Public works Division
Service Request
Problem Address: 1527 Windemere Dr Requested By: Joann Heryla
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Namber: 571-1031
Sc6eduled Date: 2017-04-27 w � Schednled Tlme: 08:00:00
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ACITON NEEDED: I�
Created by; Wendy Hiatt Dxte Created: 2017-04-20 '
AC110N TAI�N:
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5nbmitter Has Been � �i
Status: In Progress Co��cted r ' '
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Date Completed: �—a�� �j Completed by: � � r
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City of Fridley �� J� I U
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 roecessary 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) I also hold the City of Fridley andrts employees harmiess for any damages that may c�r while doing 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 also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �� �� �
Name: J �a� �`�/`�/ 4� Address L��� �V������� ��, �
Phone Number "��" �U�� Date t—o�� � ' \
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Signature Witness Signature
OLD METER# �,�`�'�� � G � ','
OLD READING ��� / � J�
NEW METER# ���� �� `�' ,'
NEW READING �
ERT# ������19 1 '
FRIDLEY CITY CODE ',
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNISTRATION '
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT PEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or lwildfng for wF}ich the
application is made,the owner or contractor shall be required to obtain a permit for such connectto�,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water aad Sewer Department shaii be notified. tt shall be un{awful to cover
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 initial connection has been made to the water senrice curb stop box or the sewer lead at the property iine or a water servN�lead has
been entended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. 1t shall be the responsibil'rty of the applicaM,
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)