Meter Swap L
` Request Number: 16279
Public Works Division
Service Request
Problem Address: 8080 Broad Are Requested By: Steve A,delman
Department: WA'IER Address: No address provic�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-7666
Scheduled Date: 20 7-07-11 Scheduled 1ime: 07:30:00
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AGTION NEEDED:
Created by: Wendy Hiatt DAte Created: 2017-07-10
ACRON TAI�N:
-�-(�,5 �i.��� ���----
Status: In Progress Submitter Has Been �.,
Contacted
DateCompleted: "� i �, � � Completedby: ����
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��z- 5�3� -O 1
, � �i�ty of Fridley C V � ' r�] �(�
`J�r �
Water Departra�ent J � �
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
i/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line trom the main to the premise and all ir�terior
plumbing. (Per City code 4QZ.i1fij 1 also hold tfie City of Fridley and/'rts empfoyees harmless for any damages that may occur while doing this
operation. This to inciude,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 wark,if necessary.
FINAL METER READING(old meterj �� ✓ � �� "
Plame: ��U� ��`P,��'Y�'Gl V` Address_ i�J � U� ��A ��
Phone Number `�' ��"�Date ��` � (� ( �
'�i nature �"'�—
g Witness Signature
OLD MEt'ER# � ` � ✓ � � � 3
O!D READING v� � 0 ��V
NEW METER# t���� ���
NEW READNVG �
ERT# �� � 1 � l ✓3
FRIDLEY Ct1Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMiNfSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting Che existing municfpal system and any house or buiiding for which the
application is made,the owner or contractor shaii be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt 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 appro,red by the City as a
proper and suitable connection.
402.06 REPAlRS APID MAINTEMANCE TO COPINECTION
After the initial connection has been made to the water service curb stap boz or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicarrt,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. If the y�roperty owaer
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/o�
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the respoesibility af the applicant,
owner,occupant or user to perform standard maintenance 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 operability and at such height as will ensure that it remains above the finished
grade of the tand or property. (Refi 638,1156,1191j