Meter Swap ,
' Request Number: 12797
Public Works Division
Service Request
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Problem Address: �1 Central A�e Requested By: Kimberly Ben-Haim
d�t Cet�ttal A�e
Department: WATER Addresa: Fridley,MN S543Z
Problemllasue: INSTALL AMR METER Phone Nwaber: 715-579-3686
Scheduled llnte: 2017-01-20 Sc�ednled 1lme: 49:0(3:40
� �
ACIION NEEDED:lnstall AMR
Createvl by: Beth Ko�-ick Date Cre�ed: 201?-01-09
ACTION TAKEN:
� ���-�,��� ���� _
Statug: In Progcess ��her Ha�s Bcen r,
Contacted
DAte Com�eted: Completed by:
..�----�---,
�.,. W .% � � / . . . .
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_ City of Fridley � � �L�� � /
* Water Department /
6431 University Avenue NE �?� (;�.}�� �'�(���� ��
Fridley, MN 55432 r
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. 1 understand that the property owner is liable for the wate�line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing th'ss
operation. This to tnclude,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.
F{NAL METER READIAIG(ofd meter) 1,.i " � � ��
Name: �� �'1��� ��C_,r\" 4'�UYN Address 1_i )� 1 `.�CJ� � � ���
Phone Number�`�����1�� p�e ` '�.�� '� {�
Stgnature ��' Witness Signature
OLD METER# � �� ��
�
OLDREADING��� �I �V
NEW METER# �1 � � ����
NEW READING l./
ERT# �o�`�� ' � � �
FRIDIEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY 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 line wnnecting the existing municipai system and any 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 provided in
Cfiapter il of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed, it shall be unlawful to wver
a�y connecting line until an inspection has been made and such connedion and the work incident thereto has been appro+red by the City as a
proper and suitab4e connection.
402.06 REPAtRS AND MAINTENANCE TO CONPfECT10N
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water service lead 6as
been extended to the property line for wnnedion,the appticant,owner,or occupant or user of such premises shait be iiable for ail repairs
required to any water line and sewer lines necessary for connection of Che premises from the main to tfie premises. If the property owner
requests mairitenance service or repairs be performed by the City,the properly owner shall be charged far the tosts of the maiMenance a�djor
repairs,including necessary street repairs at a rate set annually by an administrative policy. lt shall be the responsibility of the appticarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includir�debr'ss clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it�emains above the finished
grede of the land or property. (Ref 638,1156,1191)