Meter Swap ' Request Number: 15339
Public Works Division
Service Request
Problem Address: 121 71 st��}1� Requested By: Barbara Berquist
Department: WA1ER Address: No�dress provided
Probiemllssue: INSTALL AMR METER Phone Number: 572-3884
Sc6e�d Date: 2017-OS-17 ,� O Schednled 1tme: 1030:00
c
ACTION NEEDED:
Created by: We�y Hiatt DaEe Created: 2017-OS-15
ACIION'^/T : � �
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Status: In Progress �bmitter Has Been �.
Coutacted
Date Completeds Completed by:
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City of Fridley
'� Water Department � � �/_�
6431 University Avenue NE ��
Fridley,MN 55�32
763-572-3566
IJwe hereby authorize the City of Fridiey andjor its empioyees to do wfiat is necessary to
repiace the water meter. !understand that the property owne�is{iable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andiits empioyees harmless for any damages that may occur while doing this
operatian. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit p�ior to any work,if necessary.
FINAL METER READMG(old meterj J���� t �
Name• i �Address �� l �G�j� � —
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Phone Number � Date_
Signature Witness Signature_�,
OLD METER#___F� f ! ( ��7�
OLD READING _ ���� S 1 v
NEW METER# � � r V�����
NEW READiNG O
E�#� ►�Z�O�
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 arry water of sewer line connecting the existing municipal system and any house or building for whtch the
application is made,the owner or contractor shall be required to obtain a permit for such connectio�,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notif'red. it sha{I be unfawfui to cover
any connecting fine until an inspection has been made and such connection and the wrork incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENAiVCE TO CONNECTION
After the inittai connedion has been made to the water senrice 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 applicarrt,ow�er,or occupar�t or user of such premises shali be liable for all repairs
repuired to any water line and sewer lines necessary for connection of the premises trom the main to the premises. If the property awner
requests maintenance service or�epairs be performed by the City,the property owner shalt be charged for the casts of the maiMenance and/ar
repairs,including necessary street repairs at a rate set annuafly by an administrative pofiry. It shall be the responsibility of the appfica�,
owner,occupant or user to perform standard maintenance of ihe 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 ar+d at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,115b,1191)