Meter Swap . Request Number: 14413
Public works Division
Service Request
Problem Address: 7345 Central Ave Requested By: Steve Saba
Depxrtment: WATER Address: No address�ovided
Problem/7ssue: INSTALL AMR METER P6one Number: ?63-784-8044
5ched�iled Dat 2017-04-13 Sehednled 11mc: 10:30:00
ACIION NEEDED:
Created by: We�y Hi�t Date Created: 2017-03-30
ACTION TAI�N:
_...._._.....�...�.•.a..-.�-.a..a�`-�..'_......_._..._'�.`�_�__...._._._.._._.___ ................____._ .
5nbmitter Has Been �
Status: In Progress Contacted r
Ds�te Completed: Completed by:
�.-l� - �� � �
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.
��' u'�S� `�Z'2� � ���
, City of Fridley � � �� ��
Water Department �
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/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 water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may o�r while doing this
operation. This to include,but not limited to valves,piping,walls,floors or tbe curb stop box and senrice line. In understarul l am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj ��� � ��O
Name:���`�.i ���J�ti- Address � �� �) ��� �1"""
Phone Number �� U������ CJV��"{Date �� � :l� ��
Signature Witness Signature
OLD METER# � ✓ � � �Q � �
OLD READING �� J CJIJ�
NEW METER# '�1"b I�t.J 7� � ��
NEW READING �
ERT# � //� v2--� �— 1
FRIDLEY CITY CODE
CHAPTER 402.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 construding 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 wch wnnection,and shall pa�a permlt fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It sha{I be unlawful to cover
any wnnecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shail be Itable for all repairs
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. If the properly owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the cos�ef the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding 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)