Meter Swap . ' Request Number: 15410
P�blic works Division
Service Request
Problem Address: 7581 Alden Way Requested By: Lou
Department: WATER Address: No address p�ovi�d
Problem/Issue: INSTALL AMR METER Phone Namber: 571-9396
Sche edDste• 201�-OS-1 � Schedaled'Ijme: 07:30:00
r
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-17
A�C."IION TAI�N:
-�-�.5,�,C(�� ���--
Status: In Progress Submitter Has Been r
Contacted
Date Campteted: G ^ 1(a_ i`"/ Completed by: C�'I
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' City of Fridley � � �`., i^
' Water Departrnent �� �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
���+e hereby authorize the City of Fridley and/or its employees 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 premtse and al!interior
p{umbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while dcing this
operation. This to inctuda,but not limited to vahres,piping,walls,floors or the curb stop box and service line. In understand i am also required
to obtain a perm'st prior to any work,if necessary.
FINAL METER READING(old meter) I f V /���
Name: ��� Address_ ! J �1 �I.��i� W�
�n r
Phone Number _ J ! � � !� �Q Date_ 5�` 1 V " ` (
S'sgnature Witness Signature —1
OLD METER# !�� ��U � �V
OLD READING ��d 3 31.�
NEW METER# � Iv�V� t� � �
NEW READING �
ERT# � 1 � v�
FRIDLEY GTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,115b,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer fine connecting the enisting municipal system and ar�y house or Iwilding for which the
application is made,the owner or coatractor shaU be required to obtain a permit for such connection,and shaii 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 work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINT'ENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice tead has
been extended to the property line for connection,the applitant,owner,or occuparrt or user of such premises shail be ifable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premtses. if the property owner
requests mairrtenance service or repairs be perf'ormed by the City,the property owner shail be charged for the costs of the maiMenance and/or
repairs,includ+n�necessary street repairs at a rete set annually by a�administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
�rade of the land or property. (Ref 638,1156,1191)