Meter Swap ,
� ' Request Number: 12747
Pubtic works Division
Service Req�rest
Problem Address: ?401 Able St Reque:ted By: Tom
DepartmeHt: WA'� �.�5: 7401 �d 7403 Able St
Fridtey,MN SS433
Problem/Isaue: INSTAL,L AMR ME1ER Pho�Nnmber: 619-22T-4077
Sc�duled Date: 201'1-01-10 Scheduied'Ifine: 07:00:00
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ACIION NEEDED:Side by si�d�plex-i�tall AMR
Created by: Beth Koudrick Date Creded: 2017-01-05
ACIION T .
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Sts�tua: In Pro ss 5abmitter Ha�H�en r, ".:;�
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Date Completed: Campleted by: � /t,„
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City of Fridley ��/ - y�g'���� �, ��
Water Department
6431 University Avenue NE Q
� Fridley, MN 55432 >� 1 O�
,
763-572-3566 � � �
�/We hereby authorize the City of Fridley and/or its empfoyees 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 ali iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its empioyees harmiess for any damages that may occur while doing this
operation. This to include,but not fimited to valves,piping,walls,floors or the curb stop box and service line. 1�understand I am aiso required
to obtain a permit prior to any work,if necessary.
FIPIAL METER READING(old meter) �� � ��
Name: Y�Y1r� Address_��4� �1rL� �
Phone Number 1r-� VC�r ���— L���pate � ��� ��
�Signature Witness Signature
OLD METER# i � � � f��L � I
OLD READING �L/ J� �
NEW METER# ��' �I ����
NEW READING �
ERT# ��t��l.�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) X
'Ri�
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buildirig for whid�the
application is made,the owner or corrtractor shall be required to obtain a permit for such�nnection,and shall pay a permit fee as provided irr
Chapter il 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 incideM thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAtNTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a weter service kad has
been extended to the property line for wnnection,the appiicant,owner,or occuparrt or user of wch premises shall be liabk for all 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 senrice or repairs be perFormed by the City,the praperty owner shall be charged for the costs of the malMenar�ce aod/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupaM or user to perform standard maintenance of the sewer service line from the premises to the main including debris deanng or
root cutting and to maintain the water service curi�stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)