Meter Swap — — � - -
� Request Number: 12811
Public works Division
Service Request
Problem Addreas: 1365 73rd A� Requested By: Rhonda Dalcy
Departmeet: WA1ER Addresa: No address pcovided
Problem/Iss�: � INSTALL AMR METER Phoae Number: 612-481-1722
SeLedtiled Dste: 2017-01-1'� 5cl�dttie�1iu�e: 09:00:00
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A(;"FION NEEUED:
Cregt�iby: WendyHia�t l�Created: 2017-01-10
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St��u: In Progress 3abmitter Hne Beea r,
Contacted
Date Co�pleted: Cs�leted by:
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Ctity of Frid{ey /1 � � � j /
Water Department S � �
, 6431 Universi�y Avenue NE V
� Fridley,MN 55432 � ��_ ��"���
� 763-572-3566
�1�+�+e 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 line from the main to the premise and all interior
plumbing. (Per City code 402.06j 1 also hold the City of Fridley andjits empfoyees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
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fINAL M R READING(old meter
Name: � � Address � � Jr �
Phone Num r h � v � Date 4���� \�
�Si natu j Witness5ignature ,�
OLD METER# � � � (� ""( � � �
OLD READING Z�� � J ��
NEW METER# �� ��� ✓��
NEW READING �
ERT#� ��� O�.J��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY 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 line connecting the existing municipal system and any house or building for which the
apptication is made,the owner or contractor shall be required to obtain a permit for 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 connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice wrb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of wch premtses shall be liable for ali repairs
required to any water line and sewer lines necessary for connection 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
repairs,including necessary street repairs at a rate set annually by an administrative poliry. it shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to maintain the water service curb stop box for operabil'rty and at wch height as will ensure that it remains above the finished
grade of the land or properly. (Ref 638,1156,1191)