Meter Swap � Request Number: 15464
Public works Division
Service Request
Problem Address: 161 71 st A�e Requested By: Ms Barker
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-3579
ScheduledDate: 2017-OS-26� � Scheduled'Rme: 08:00:00
�
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201'I-OS-19
ACTION TAKCN:
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Statua: In Progress 5ubmitter Haa Beea r
Contacted
Date Completed: �^�� ' Completedby: ��t, �
7 ��
City of Fridley ��3'���� �Q l
_ Water Dep�artrnent /�� � �L JV
6431 Universi Avenue NE j
Fridley,MN 55432
763-572-3566
IJwe hereby authorize the C'rty of Fridley and/or its empioyees to do what is necessary to
repiace the water meter. i understand that the property owner is liable for the water line from the main to the premise and alt irrterior
plumbing. (Per City code 402.06) 1 also hoid the City of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and seroice line. In understand i am also required
to abtain a permit prior to any worlc,if necessary.
FINAI METER READ{AIG(otd meterJ � `►�' Q�(J ` �v
Name: �5 },JC��` �QU'� Address__ ��� 1 1 �� F'CU^e
Phone Number 3_J 1 � D� � '� p�-�t — �`�
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��ature w'rtness Signature
OLD METER# � y`�`"�Z�L�
OLD READING cJ� ����
NEW METER# � ��� J I 1 �
NEW READING �
ERT# �°'� 3 � J f L� I
FRi��r cinr co��
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATfON
{Ref Ord No 113,464,565,566,624,638,662,9Z2,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constsucting or repair of any water of sewer line connecting the e�cisting municipat system and arry house or bullding for which the
appitcation is made,the owner ar contractor shaN be required ta obtain a permit for such tonnection,and shaii pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shaN be notifiect. It shall be unlawful to cover
any connecting line until an inspection has been made and such connedion and the wark incident tfiereto has been approved by the City as a
proper and suitabie connection.
802.06 REPAIEiS AAfD MAfNTENANCE TO CONIYECTlOfV
After the initial connection has been made to the water service curb stop box or the sewer lead at ihe property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shail be liabie for ail repa(rs
required to any water Itne and sewer lines necessary for connectio�of the premises from the main to the premises. if the pmperty owner
requests maintenance service or repairs be perEormed by the City,the property owner shall be charged for the costs of Che mairnenance and/or
repairs,inciuding necessary street repairs at a rate set annualty by an administrative policy. it shall be the responsibility of the appficarrt,
owner,occupant or user to perform standard maintenance of the sewer service iine from the premises to the main including debris deaci+�g or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains at�re the finished
grade af the fand or property. {Ref 638,1156,1191)