Meter Swap ,
; Request Number: 15462
r�i�wo�n;��on
Service Request
Problem Address: 119 75th Way Requested By: Janet
Department: WATER Addresa: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-709-1564
Scbeduled Date: 2017-OS-23 Scheduled Time: 07:30:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Cre�ted: 2017-OS-19
AC"IION TAI�N:
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Statua: In Progress Sabmitter Haa Beea r,
Contacted
Date Completed: �_.,� Completed by: ` � �
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. City of Fridley �a � � /�(a�
Water Departrnent �-� `� �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��"'�e hereby authorize the Crty 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 402.06) i also hold the City of Fridley and/its employees harmiess for arry damages that may o�r while doing this
operation. This to indude,but not timited to valves,piping,walls,floors or the curb stop box and senrice line. in understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� �� �� � �
Piame: �a-YV��a Address � l 1 � ✓� �A�p
Phone Number ���.– ���— �J�� Date ��` O��'� � �
Signature Witness Signature
OLD METER# ��� ����d
OLD READING � ` �� ��v
NEW METER#_ � J�� � 1��
NEW READING v
ERT#__ � ��J�.� � l�
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
application is made,the owner or contrador 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 connedion has been made,the Water and Sewer Department shall be notifed. It shail be unlawful to cover
any connecting line until an inspection has been made a�d such connection and the work inadent tfiereto has been appro�d by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COPINECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service tead has
been extended Co the property line for connedion,the applicant,owner,ar occupant or user of such premises sha{I be liab{e for afl 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 the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appticant,
owner,occupant or user to perform standard mair►tenance of the sewer service line ftom the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains abave the finished
grade of the land or property. (Ref 638,1156,1191)