Meter Swap ,
t Request Number: 15490
Public Works Division
, Service Request
Problem Addreas: 111 Alden Circle Requested By: Carol Beaulieu
Dep�rtment: WA1ER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 763-742-7295
Scheduled I�t�- 2017-OS-23 � Schednled 1lme: 11:30:00
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v
AtC"IION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-22
ACTION TAI�N:
.__.__.. ���.C� __.__.
5tatus: In Progress Snbmitter Has Been r,
Co�acted
Date Completed: � �-� � — ' � Completed by: t���
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City of Fridley ^
� Water Departrnent �� � 'f,�� 1
6431 University Avenue NE �'��
Fridley, MN 55432
763-572-3566
��`"�e hereby authorise the City of Fridiey and/or its employees to do what is necessary to
reptace the water meter. 1 understand that the property owner is liable fo�the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the C'rty of Fridley and/'rts employees harmless for any damages that may occur while doing this
operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop box aod senrice line. in understand i am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meterJ ��� ���
Name: �, ��,'�-1,��i�itil. Address �� ' ��'�. �..����`.
Phone Number ��3 `� `� — ���✓Date 5 a 3 —`�
Signature Witness Signature
OLD METER# ���� �� v"°�--
OLD READING V�OL- C I�O
NEW METER#_ � I �� � � I�
NEW READING v
ERT# � � � ��� � U
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing o�repair of any water of sewer lisie connecting the existing municipaf system and any house or building for which the
application is made,the awner or contractor shall be required to obtain a permit for such�nnection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmertt shall be noYif'ied. it shall be uniawful 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 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 seroke lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or use�of such premi�s sha�4 be tiable for aN 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 maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andJor
repairs,inciuding necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb 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)