Meter Swap w
Request Number: 16270
Public Works Division
Service Request
Problem Address: $270 Broad Ave Requested By: Jeri
Department: WA1ER Address: No address provicled
Problem/Issue: INSTALL AMR METER Phone Number: 763-600-4988
Scheduled Date: 2017-07-17 � Schednled'13me: 09:00:00 '
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-07
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ACTION TAI�N:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: �� !,... �� Completed by: �a��
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, City of Frid9ey
Water Departra�eent ��� ����
6431 llniversity Avenue NE
Fredley,MN 55432
763-572-3566
��We hereby authorize the City af Fridley and/or its employees to do what 1s necessary to
replace the water meter. 1 understand that the property owner is liable for the water Iine from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hoid the City of Fridley andPts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wa{Is,ffoors orthe curb stop box and service line. in undecstand 1 am also required
to obtain a permit prior to any wor[c,if necessary.
FINAL METER READifd6(old meter ^v�� ��
)
Name: ��ir1 Address 8a�v �� /�`e
Phone lYumber�`��� "+�� '-1.�V� pa� �`'r �� '�- (,`'1
Signature Witness Signature '
OLD METER# � g,�
OLD READING �� � v
NEW METER# � -! �� � � 1 �
NEW READING �
ERT# �� e I " ���0
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANIT14RY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,fi29,638,662,9a2,988,1144,1156,1191)
4a2.5 PERMtT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such con�ection,and sha(I pay a permit fee as provided in
Chapter 11 of this Code. After such connection has i�een made,the Water and Sewer Departmerrt shall be notified. It shaN be unlavufui to cover
any connecting line until an inspection has been made and such connection and Lhe work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTtON
After the inRiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice iead has
been extended to the property line for cannection,the applicant,owner,or occupant or user of such premises sha11 be liable for afl repairs
required to any water line and sewer lines necessary#or 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 properly owner shall be charged for the rnsts of the mair�tenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer secvice line from the premises to the main incfuding debris clearin�or
root cutting and to maintain the water service curb stop box for operebility and at such height as wtll ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j