Meter Swap Request Number: 15478
Public Works Division
Service Request
Problem Address: 7115 Ashton Ave Requested By: Vathana
Departme�: WA1ER Address: No a�ress pcovided
Problemi/Issne: INSTALL AMR METER Phone Nomber: 763-586-0620
Schednled 2017-OS-24 � Sc6ednled'IIme: 07:OO:OQ
AClION NEEDED:
Created by: Weidy Hiatt llnte Created: 2017-OS•19
,,ACI�ON TAKENc
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;Status: In Progress Sabmitter Has Been r,
_ Coats�ted
Date Completed: C'�, 1 w_ �� Completed by: `�(, Y
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� Ctty of Fridley �v I ' �� " �O ��
Water Departrnent � � ���O
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
reptace the water meter. 1 understa�d that the property owner is liable for the water line firom the main to the premise and all iriterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walis,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) " ��� � �
Name: � � ��-��h Address �1�L5 a-'tS��� -��' ,
Phone Number ���� 5��� �vd2-v Date ����` ��
Si nature `��
� Witness Signature
OlD METER# � � � ,
� 1 `�/t�1
OLD READtNG � G V ��
NEW METER# y�a� C�a � 1
NEW READING O
ERT# `� a � 5 � � c��
FRtDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
P�ior to constructing or repair of any watsr of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or co�trador shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Department shail be not�ed. tt shall be unlawful to cover
any connect(ng 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 AMD MAINTENANCE TO CONNECTION
After the initial connectian has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occuparit 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. If the propesty owner
requests mai�tenance service or repairs be performed by the�ty,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. it shall be the responsibility af the applicant,
owner,occupant or user ta perform standard mairrtenance of the sewer service line from the premises to the main including debris 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 finished
grade of the land or property. (Ref 638,1156,1191}