Meter Swap �
�� Request Number: 15111
Pub�lic works Division
Service Request
Problem Address: 7612 Arthur St Requested By: Greg Kline
Department: WA'IER Address: No acldress provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 'I86-4191
Sched . 2017-OS-04 � Scheduled'Ilme: 10:00:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-03
ACITON TAI�N:
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Status: ' In Progress Submitter Has Been r,
Contacted
Date Completed: Completed by:
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City of Fridley ,�# Z,/j/�s
Water Department r �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and aN interior
plumbing. iPer City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while dois�g this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ��V�-'`�
Name: � ���_ Address �KJ �� �\`� ��
Phone Number " 6 I { 1 Date _�' " 1� ��
Signature Witness Signature
OLD METER# ��� � ����
OLD READING � ��O Q Q
NEW METER# � �7-{O� ` ��
NEW READING �
E�# `t � $t Z� I $.
ERIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANfTARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT PEE
Prior to constructing or repair of any water of sewer Itne connecting the existing municipal system and any house or building for which the
application is made,tfie owner or contractor shafl 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 not�ed. It shall be unlawful to cover
any connecting line u�tit 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 hox o�the sewer lead at the property Itne or a water service fead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such p�emises shall be liable for aN repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the�intenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing vr
root cutting and to maintain the water service wrb stop box for operabiltty and at such height as will ensure that it remains above the finisb�tl
grade af the land or property. (Ref 638,1356,1191)