Meter Swap ' Request Number: 16136
Public works Division
Service Request
Problem Address: 8330 Broad Ave Requested By: Steve
Departme�: WA1ER Addreas: No address�xovided
PFoblem/Iasue: INSTALL AMR METER Phone Numbcr: 763-516-024?
Sc6eduled Date: 2017-06-27 ,_„� 5chednled Tlme: 11:00:00
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ACIION NEEDED:
Created by: Wex�y Hiatt Dxte Crented: 2017-06-26
• AC'IION T�4KEN:
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Statos: In Progress Snbmitter Has Been r,
Contacted
Date Completed Completed by:
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City of Fridley
_ Water Department �D� ����
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley andior its empfoyees to do what is necessary to
repiace the water meter. i understand that the property owner is liable for tfie water{ine from tfie main to the premise and ail interior
plumbin�. (Per City code 40Z.06) 1 also hold the City of Fridley a�d/its employees harsnless for arry damages tfiat may occur while doing this
operation. This to include,but not limited to valves.piy�ing,walls,floors or the curb stop box and service fine. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READItYG(old meterJ D � �� ��O
Name:-�S„L'TL�� � Address
Phone Number �����^����Date �� V�^��
Signature Witness Signature
OLD METER# � � ��`� �
OLD READING �/� �- f ���
NEW METER# �� �� ����
NEW READING �
E�-# �1 ZZZ� Z�t�
FRIDLEY CITY CODE
CHAP7ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIIYISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prtor to construc+ting or repatr af any water of sewer fine conneding the existing municipal system and arry house or building fo�whPch the
application is made,the owner or contractor shalt be required to obtain a permit for such conoection,and shall pay a permit fee as provided in
Chapter ii of this Code. After wch connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting li�e 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 REPA(RS AND MAINTENANCE TO CONNECTfON
After the inttial connection has been made to the water service curb stop box or the sewer lead at the property tine or a water senrice Iead has
been e�ctended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water 4ine and sewer{ines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenante service or repairs be performed by the�ty,the property owner shall be charged for the costs of the mai�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appticarit,
owner,occupant or user to perform standard mairrtenance 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 land or property. (Ref 638,1156,1191)