Meter Swap ,
` Request Number: 12775
Public works Division
Service Req�st
Problem Address: 1505 73rd A�e Requested By: Krystat Weber
Depsrtme�: WATER Address: No ad�ess provided
Probiem/Issue: iNSTALL AMR METER Phone Nnmber: 1-320-237-5674
5c�ednledDate: 2 1?-01-1 � Schednled'ltme: 01:30:00
^�a� I 3 !3
4 AC"IION NEEDED:
Created by; We�y Hiatt Date Cre�ed: 201�-O 1-09
ACITON TAI�N:
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Statt�: In Progress Snbmitter H�c Beea �.
Contncted
Date Completed: � �}y
1 �� --�--� Complcted by: �.
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City of Fridley q � � � � -���
. Water Department � /
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6431 University Avenue NE
Fridley, MN 55432 �J3�����_
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water fine from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop box and service tine. In understand I am also required
to obtain a permit prior to any work,if necessary.
FiNAL METER READING(old meter) � �����
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Name• [-���\ w�'IV�� Address ���� � �r� �•�
Phone Number l"��ow '� �� / ""����1 Date �J �3 -��
Signature `���:�� V`�✓✓t" _ Witness Signature �—
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OLD METER# �U�� � lt� q„
OLD READING_� lJ I �C�
NEW METER# l� � 1 �� �(J �
NEW READING �
ERT# � �V S ��/ � �✓
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any wate�of sewer line connecting the existing municipal system and arry house or building for which the
appliwtion is made,the owner or wntractor shall be required to obtain a permit fo�such connection,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 notified. It shall be unlawful to cover
any conneding line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial wnnection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to tfie property fine for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the propertY owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repai�s,including necessary street repairs at a rate set annualty by an administrative poliry. It shall be the responsibi{ity of the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operebility and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)