Meter Swap �
' Request Number: 15292
Pub�tc Works Division
Service Itequest
Problem Address: I03 71 1/2 Way Requested By: Hi}ean
DepartmeM: WATER Address: No address provided
Problem/7ss�s INSTALL AMR METER Phoae Number: 612-998-3917
Scheduled Date: 2017-05-15 5cheduled 19me: 08:00:0(1
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ACTION NEEDED:
Crented by: Beth Kondrick Date Created: 2017-OS-11
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ACTION TA�N:
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Status: In Progress 5nbmitter Hns Been r, ,_��
Contacted
Date Completed: � � I� ^ l�7 Completed by: �at, � "
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� City of Fridley D� '���
. Water Departmer�t � a O
6431 University Avenue NE ��
Fridle MN 55432 �
v. �
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do vrhat�S necessary to
replace the water meter. I understand that the property owner is liabie for the water line from the main to the premise a�d all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andrts employees fiarmless for any damages that may occur while doing this
operatio�. This to include,but not limited to vabes,piping,walls,floors or the curb stop box and service line. In unden�tand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN6(old meterJ ��� �� v `�
Name: �lS`eG,Y�, Address �� J �� ,��. L✓�/
Phone Number_��Z— I / U � �� / Date � — f� � ��
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Signature VYitness Signature
OLD METER# l l,"��a��
OLD READING � r � � O
NEWMETER# _ t�V� �� � �
NEW READING �
E�#_ �ll ��. � a �l `7
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any house or lwiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shaN pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawFul to cover
any connecting line untif an inspection has been made and such connection and the work incident thereto has been appro�d by the City as a
proper and suitable connection.
402.06 REPAIRS AtYD MAfN�'ENANCE TO CONNECTION ,
After the initial connection has been made to the water service curb stoQ box or the s�wer lead at tfie properly line or a water seroice lead has
been extended to the property line for connection,the applicant,owner,or ocwpant 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. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for tfie costs o�F the maiMenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarit,
owner,occupant or user to perform standa�d mairrtenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service wrb stop box for operability and at such height as viriil e�sure that it remains above tfie finished
grade of the land or property. (Ref 638,1156,1191j