Meter Swap - Request Number: 14469
Public works Division
Service Request
Problem Address: 7316 Able 5t Requested By: Roger Sam�ell
Department: WATER Address: No address provided
ProblemRssue: INSTALL AMR METER Phone Number: 763-784-5508
Sc6ed�ed Date: 2017-04-07 Sc6ednied'Rme: 10:30:00
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ACIION NEEDED:
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Cre�ed�y: Beth Ko�drick Date Created: 201 T-04-03 � ,�q �"
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ACIION TAI�EN:
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Status: In Progress Snbmitter Haa Beea r,
Coutaicted
Dsite Co���ted: Completedby:
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3a � , �, c�� � ��-�(
. City of Fridley � �� " �
Water Department ���
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�/We fiereby authorize the C�ty of Fridiey and/or its employees to do what is necessary to
replace the water meter. 1 understand tfiat tfie properLy owner is liable for the water tine from the main to the premise and all interior
piumbing. (Per City cade 402.06) 1 aiso 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 valves,piping,walls,floors or the curb stop box and service line. In underjtand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING{old meter) V�� � �O�
Name: �� C?k'����� Address � � L� ��V"� �
Phone Number���� �� ��l/� Date �"�� ��'�
Signature Witness Signature
OLD METER# � r�'" ����
OLD READlNG � ��� `��..JO
NEW METER# ~ � V � � � ��
NEW READING l/
ERT# � ���� 1 � 4
FRIDLEY C{TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTltAT10N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repatr of any water of sewer line tflnnecting the existing municipal system and any house o�buildiog for whkh the
applicatio�is made,the owner or contrector sfiall be required 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 Department shall be notified. it shall be unlawful to�ver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
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 liable for all repairs
required to any water line and sewer iines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged fo�the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main incfuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such fieight as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191�