Meter Swap � Request Number: 15320
Public works Division
Service Request
Problem Address: 154 71 1/2 Way Requested By: George
De�rEment: WA1ER Address: No address providdd
Problemllssne: INSTALL AMR METER Phoee Number: 5�2*9319
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Scheduted Date: 2017-OS-15 v Schednled 11me: O1:00:0U '`
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ACTTON NEEUED:
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Cre�ted by: Wendy Hiatt Date Cre�ed: 2017-05-12
ACTION TAI�N: ,
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Date Complete� �� 1�� ��-y Completed by: ���c.�
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City of Fridley �✓ ,!�� q� �� ,�� I
Water Department � ��J ��
6431 University Avenue NE
Fridley,MN 55432 �� � �� )�
763-572-3566
Uwe hereby authorize the City af Fridiey and/or its employees to do what is necessary to
reptace the water meter. i understand that the property owner is fiable for the water line from the main to the p�emise and all interior
plumbing. (Per City code 402.06) 1 also ho{d the City of Fridley andjits empioyees harmless for any damages that may occur while dang this
operation. This to include,but not limited to valves,piping,walfs,floors or the curb stop box and service line. in understand I am also required
to obtain a permit prior to any work,tf necessary.
FINAL METER READIN6(o{d metert �"� � �"--� "
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Name: �4�C.'�Y�t2 Address ��� � � �" L�r�.s•/
Phone Number � r a� ��� / pate � '-'" �� "' ��
Signature Witness Signature
OLD METER# �� t� ; �J
OLD READING ��� � ��
NEW METER# ` !�� � t J�
NEW READING �
ERT# � 19� 135 )
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191�
402.5 PERMR FEE
Prior to wnstroding o�repair of any water of sewer line connecting the existing municipai system and any house or buiiding for whkh the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shail 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 notified. it shall be unlawfi�l to cover
any connecting line ur�tit an inspection has been made and such connection and the work incident the�eto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEIYANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead fias
been extended to the properly li�e for wnnection,the applicant,owner,or occupant or user of suth premis�es shall be{iable for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises, ff the property awner
requests maiMenance senrice or repairs be performed by the City,the property owner shall be charged for the casts of the maiMenanc�and/or
repairs,includ+ng necessary street repairs at a rate set annuaNy by an administrative poliry, tt shalt be the responsibility of the applicant,
owner,occupant or user to perform standard mai�enance of the sewer service line from the premises to the main including deb�is clearing or
root cutting and to maintain the water service curb stop box for operability and at such heigfit as wifl ensure that it remains above the fi�ished
grade of the land or property. (Ref 638,1156,1141)