Meter Swap �
Request Number: 12758
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Public Works Division
Service Request
Problem Address: 1650 73 1/2 Atie Requested By: Henry Korm�
Depnrtmeut: WATER Addreas: 73 1/2 A�
Fridiey,MN 55432
Problem/Issue: INSTALL AMR METER Phone Nember: 612-369-5111
Sc6edW te: 2017-01-11 Sched�iet!11�e: 07;pp:pp
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Cre=ted by: Beth Ko�rick Drte Cre�ed: 2017-01-06
AC7ION TAKEN:
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Stntus: In Progress ���er Hu Beea r,
Co�tacted
Date Completed: Completed by: /���
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City of Fridley
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Water Department
6431 University.Avenue NE � rl I � 3 �
• r Fridley,MN 55432 v �
^ 763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) 1 aiso hold the City of Fridley and/its employees ha�mless for any damages that may occur while doing this
ope�ation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING oid meter � �� ���
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Name: 4 Address
Phone Number ���✓J���' `'�� F Date �~ 1 I " �
�Sig�u� Witness Signature
OLD METER# �� 1 t� 1� L.J 6�-�
OLD READING ��� �� �
NEW METER# 1 � ` 1 FJ � Z�
NEW READING�
ERT# I�' � �./ � � ���
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 municipai system and any house o�building for which the
application 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 ii 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 inspedion 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 connection 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 the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie 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 aaner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of tF�e apptipnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clea�ing or
root cutting a�d to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the ftnished
grade of the land or property. (Ref 638,3156,1191)