Meter Swap ,
' Request Number: 14748
Public Works Division
Service Request
Problem Address: 7689 Bacon Dr Requested By: Ronald Carlson
Department: WATER Addreas: No address�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-1351
Scheduled Dite: 2017-04-20 Sc6eduled 13me: 09:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Crested: 2017-04-18
ACTION TAI�N: .�
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Status: In Prog�ess Snbmitter Ha�Been r
Contacted
Date Completed: Completed by: '
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' City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
UWe hereby authorize tfie C'�ty of Fridley and/or i�employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interioc
piumbing. (Per City code 402.06) 1 also hold the City of Fridley and�ts employees harmless for any damages that may occur whtle doing this
operatton. 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�ecessary.
FINAL METER READING(old meter) ')V `� r � "
Plame•-��"�W�''t�.C�V 1�19vr Address ��O C� 1 �h �
Phone Number�l�D�T"�C1K/- '�l,J 1 Date �'���✓�,�
Signature �tness Signature
OLD METER# I 1 �-l ��� � , i �- ` ��S� �� �"TJ ��� �
OLD READING �� �� ��V `" � Gj ��
NEW METER# '�t� Vl l t"J�Z�
NEW READING�
ERT#'���„ � /�1�I � � t) �
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SAN{TARY SEWER
ADMiNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE -
Prior to constructing or repair of any water of sewer ltne connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provtded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shail be�otified. it sttall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident tfiereto fias been approved by the C�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEhANCE TO CONNECTION
After the initiai connection has been made to the water service curh stop box or the sewer tead at the property line or a wate�service lead has
been extended to the property line for connectioe,the appiicant,owner,or occupant or user of wch 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 tBe property owner
requests maintenance service or repairs be perFormed by the City,the property owner shail be charged for the costs of the mair�tenance 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 to perform standard maiatenance of the sewer service line from the premises to the main including debris clearing or
root wtting and to maintain the water service curb stop box for operabii'�ty and at such height as will ensure that it remains abave the finished
grade of the land or property. (Ref 638,1156,1191)