Meter Swap � Request Number: 15588
Public Works Division
Service Request
Problem Address: 133 75th Way Requested By: KatWeen Skogen
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-331-0104
Schedule� 2017-0 -30 Schednled 11me: 08:00:00
C�' �-`
ACTION NEEDED:
Created by: Wendy Hiatt Dete Cresited: 2017-OS-26
ACIION TAKEN:
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Status• In Progress 5abmitter Aas Been r �°
' Cont�ted ���,:
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Date Completed: � � 2 v � 1 �l Completed by: �� �
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�ity of Fridley �� � ��2� `'� �� 2
• Water Departrrsent
6431 lJniversity Avenue NE
� Fetidley, MP/ 55432
763-572-3566
ijwe hereby authorize the Crty of Fridley andjor its emptoyees to do what is necessary to
replace the water meter. i understand that the property owner is liabte for the water line from the main to the premise and alt iciterias�
plumbing. {Per Cifiy 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 include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to abtain a permit prior to any wos�tc,if necessary.
FINAL METER READING(old meterj � " �` / � 1 �/
Name: �"`�� �'��'L �W��n Address__ ��� �� �' �a-�
Phone o�umber ��3� 53 L-C710y pate �J ' '3(� ^' L�
ignature��`�h Wftness Signature
OLD METER# _ �� ��� ���J
OLD READING v � � � � [ C�
NEW METfR# l —lcx(�.. L.+2��Q.�j
NEW READING �
E�rr# �Z� 3 � ���, �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMlNISTRATION
(Ref Ord No 113,464,565,565,529,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer lis�e connecting the euisting municipal system and any house or buiiding for which the
application is made,the awner or contrackor shall be requ'sred 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 Departmerrt shali be notified. it shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the wortc inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
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(ead has
been extended to fihe property line for connedion,the applicant,owner,or occupar�t or user of such premises shall be itabie for ail repaiss
reqaired to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property ow�er
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the mairrtenance and/o�
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 perEorm standard maintenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operabii'�ty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)