Meter Swap - Request Number: 16166
Public Works Division
Service Request
Problem Address: 7125 Ashton Ave Reqnested By: Rick Anderson
Depsrtment: WATER Address: No�dress provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-402-0499
SchedWed Date: 2017-06-28 3chednled T1me: 10:30:00
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AC7ION NEEDED: .
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Crexted by: Beth Kondri�k Dute Cresited: 2017-06-27
ACTION TAI�N: � 1���� -
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Status: In Pro�ess Submitter Has Beea �
Contacted , ,,;�:;;
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Date Completed: f_ ,._.� �� 1!� Completed by: � ` �
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Ciityy of�ridley >�
' WaterDepartment ,�j�� �('���
6431 University Avenue NE
Fridley,MN 55432
7C3-572-3565
��tl1�e hereby authorize the City of F�idley and/or its empioyees 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 aad all interior
plumbing. (Per Crty code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages that may occur 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 I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) � 1 ✓ �� �
Name:_ 1�',�� �� �f JU�'L. Address l, 1:�� ��L�� �/p
Phone Number �� � IJ���'U y� Date_ � "'' �� ` 4�
�gnature Witness Signature
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OLD MfTER# � �
OLD READING � I ✓ � `,d
NEW METER# � 1 �/ ✓ �� �
NEW READING �
ERT# �� �� ✓ �� 7
FRtDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIRIISTRATION
(Ref Ord No 113,46�,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buitding for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such�nnection,and shait pay a perm�t fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shalt be notified. It shalf be unlawFul to cover
any connecCing 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 AAID MAINTENANCE TO COPINECTtON
After the initial connection has 6een rnade to the water service wrt�stop box or the sewer lead at the property Iine or a water service iead has
been extended to fihe property line for connection,the applicant,owner,or occupant or user of such premises shall be�iable 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 City,the property owner shall be charged for the costs of ihe mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appiicant,
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 operabil'�ty a�d at wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)