Meter Swap Request Number: 15184
Public Works Division
Setvice Request
Problem Address: 7107 Ashton Ave Requested By: David
Departmeut: WATER Addresa: No addres�provided
Problem/Issue: INSTALL AMR METER Phonc Number: 574-1704
Scheduled Date: 2017-OS-09 Schedaled 11me: OI:OO:W
r— �' �
ACTION NEEDED:
Cres�ted by: Weridy Hia�ttt Date Cre�ed: 2017-05-08
ACTION TAI�N:
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Status: In Progress Snbmitter Has Been �
Coetuted
Ds�te Completed: ��i,�� Campleted by:���
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City of Fridley �� `7�'� ��
Water Department
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
repiace the water meter. t understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fr(dley and/its employees harmless for arry damages that may ocwr whfle doing 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)_ �" 1 O" (� �"
Name: ��`� Address V W� ��,�t�'L �-
Phone Number���� � `�U� Date � ~ v� � !
Signature Witness Signature
3.
OLD METER# ��Cl L �� l
OLD READING ���L �D
NEW METER# 1 1�� g���
NEW READING �
ERT# l �t� ) � ��L�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN4STRATION
(Ref Ord No 113,464,565,566,6Z9,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any house or buildtng for which the
application is made,the owner or contractor shalt be required to obtain a permit for such connectio�,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall 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 apprwred by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial con�ection has been made to the water service curb stop box or the sewer lead at the property Iine or a water service lead has
been extended to the property line for connection,tfie appficant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. Ff the property owner
requests maintenance service or repairs be performed by the�ty,the property owner shall be charged for the com of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. 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 detuis dearing 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 638,3156,1191)