Meter Swap Request Number: 15589
` Public works Division
Service Request
Problem Address: 184 71 st Way Requested By: Cow�tney Alford
Department: WATER Address: No address provi�d
Problem/Iasue: INSTALL AMR METER Phone Number: 612-670-0565
Schednled Date: 2017-06-02 5cheduled'Iime: 07:30:00
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AC110N NEEDED:
Created by: Wendy Hiatt Date Crested: 2017-OS-26
ACIION TAI�N:
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Status: In Progress Submitter Hs�s Been r.
Contncted
Date Completed:/� ��� t� Completed by: �
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�ity of Fridiey ��� � j��,!
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Water Department �
- 6431 University Avenue NE
- Fridley, MN 55432
763-572-3566
�J°Ne hereby autho�ize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabte for the water{ine from the main to the premise and ati irrterio�
plumbing, (Per C'►ty cade 402.06) 1 aiso hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited ta valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any wartc,if necessary.
FINAL METER REqD{1YG(old meier) __ � ���� V V
Name: l�lJt,�, 't"L) � Address � U �� (�.1 Gt,
Phone lYumber �«..— l���"'- ��J(Q�j p� � " � -- l�
�Signature ""�
Witness Signature
OLDMETER# l�l��� I/��
OlD READING �� �� ���
NEW METER# � ��o�.� �� -t
NEW READtNG �
ERT# ������� -t
FRfDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANI7ARY 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 iine connecting the existSng municipal system and any house ar buiiding for which the
application is made,the awner or contractor shaU be:equired to obtain a permit for such connection,and shatl pay a permit fes as provided i�
Chapter il of this Code. After such connection has been made,the Water and Sewer Departmerrt shal{be notified. ifi shatl be unlawFui to caver
any connecting line until an inspection has been rr�ade and such connectivn and the work incident thereto has t�en approved by the City as a
proper and suitable co�nection.
402.06 REPAiRS AIVD MAINTENANCE TO CONNECTION
After the initial connection has been made to the water seroice curb stop box or the sewer lead at the property line or a water senriae lead has
been extended to Che property line for connection,the applicarrt,owner,or occupant o�user of wch premises shail be liab4e for a{I repairs
required Co any water line and sewer lines necessary for connectien af the premises from the main to the preroises. ff the property owrter
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairnenance and/or
repairs.including necessary street repairs at a rate set annuaHy by an administrative policy. it shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of fif�e sewer service line ftom the premises to the main including debris deari�or
root cutting and#o maintain the water service curb stop 6ox#or operability and at such height as wili ensure that it remairws above the finishesi
grade af the land or property. (Ref 638,1156,1191)