Meter Swap ' Request Number: 15469
Pubtic works Division
Service Request
Problem Address: 7521 Alden Way Requested By: Jeff Mondloh
Depsttment: WA1ER Address: No address provided
ProWemllssne: INSTALL AMR METER Phone Number: 763-571-0954
Sched�iled DAt�_ 2017-OS- 3 � 5ct�eduled'Ilmc: 01:30:00
/'30
ACIION NEEDED:
Created by: Bcth Kondrick Date Created: 2017-OS-19
ACTION TAI�N:
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Status: tn Progress Sabmitter Has Been r
Contacted
Date Completed: ��, �� „ �;� Completed by:
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• City of Fridley ���� ` �� ��� I O �
_ WaterDepartrnent �O � ����
6431 University Avenue NE
Fridiey, MN 55432
763-572-3566
�r`"/e hereby authorize the Ctty of Fridley andjor its employees to do what is necessary to
replace the water meter. i understand that the properly owner is liable fo�the water line from the main to the premise and ali interior
piumbing. (Per City code 402.06� I also hold the C"�ty of Fridtey andrts employees harm{ess for arry damages that may ocar while doing this
operation. This to include,but not timited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to abtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj �✓ ��� ��
Name: 3 Tj°� 11"�l��1�, Address � �� I �;��
Phone Number /lY�^ ���~�-I�� Date �~ [�`� � v�
Signature Witness Signature
OLD METER# _ �� V� �O'� ��
OLD READING " �� � 1�v
NEW METER# � 1�� � �� 1�/
NEW READING �
ERT#_ �o� � � 1 � )
FRIDLEY CITY CODE
CHAPTER�02.WATER,STORM WATER AIVD SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,422,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipat system and any house or buiidirig for which the
application is made,the owner or contrador shall 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 DepartmeM shall 6e notified. It shall be unlawful to cover
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 CONIYECTlON
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 tead has
been exCended to the property line for connectio�,the applicant,owner,or occuparrt or user af such premises shail be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shait be charged for the costs of the mairrtenance andior
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applipnt,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main includi�debris clearirtg or
root cutting and to maintain the water service curb stop box for operability and at wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1193)