Meter Swap Request Number: 12590
Pubiic works Division
Service Req�st
Problem Address: 7374 Able St Requested By: Barb Hef�n
Departme�: WA1ER Addreas: No ad�ess provided
Pro�emllssuec 1NSTALL AMR METER Phoae N�ber: 763-784-6843
Schednle 2017-01-IO � Schedoied Ttme; 09:OO:OU
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ACTION NEEDED:
C�reste.d by: We�y Hiatt Date Cre�ed: 2016-12-27
AG'IION TAI�N:
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��: ��,o � Snbmitter Has Beeg r
� Coets�cted
. � Date Ca�eted: ' -- (� -- �,� Completed by: .
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City of Fridiey ��1 .. ,C�j 9�'��.jQ — t7/
Water Department
� - ` � 6431 University Avenue NE
Fridley,MN 55�432 � � � ���
763-572-3566
�/We hereby authorize the City of Fridley andjor its empioyees to do what is necessary to
repface the water meter. 1 understand that the property owner is liable for the water{ine from the main to the premise and all i�terior
piumbing. (Pe�City code 402.06) I also hold the C'�ty of Fridley and/its emptoyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service tine. In understand l am also required
to obtain a permit prior to aoy work,if necessary.
FiNAL METER REAQING(old meter) ��� �� O
Name: 11�� ���"�` L��!`� Address `� ! � � �� ,
Phone Number ��� �� ` ��V 6 Date �'— J�./� V�
i
Signature ' ' Witness Signature
fJLD METER# 3���� ���
OLD READiNG ��� ��
NEW METER#_ 1,� b �� "v ✓
NEW READING �
ERT# � v��� J v ,/
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATiON
(Ref Ord No 113,464,565,556,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipaf system and arry house or building for which tfie
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shalt 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 not�ed. It shalt be unlawfuf to co�r
any connecting line untif an inspection 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 CONNECI'IOM
After the initiai connection has been made to the water sen+ice curb�stop box or the sewe�lead at the property line or a water service lead has
been extended to the property I�ne for connection,the applicani,owner,or occupant or user af such premises shaN be liabie for aif repairs
required to any water line and sewer lines necessary for connection of the p�emises frvm the rs�ain to the premises. if the property owner
requests maintena�ce service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shalf be the responsibility of the appliant,
owner,accupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris dearing or
root cuttiag and to maintain the water service wrb stop box for operability and at such height as wiN ensure thai it remains above the finished
grade of the land or property. (Ref 638,1156,1191�