Meter Swap }
Request Number: 16261
Public Works Division
Service Request
Problem Addresa: 608 Cheryl St Requested By: Troy and Anna
Department: WA1ER Address: No address�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-957-2656
SchedWed Date: 2017-07-10 5chednled 13me: 10:30:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-06
ACT10N TAI�N:
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Status: In Progress , Submitter Has Been r,
Contacted
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Date Completed: Completed by:
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City of Fridley
Water Departrnent C ��v
6431 University Avenue NE � t)�(—J�� �
Fridley,MN 55432 �/'J "T ' �/�j�
763-572-3566 `�l �
iJwe 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 li�e f�om the main to the premis�and ali interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the turb stop box and service{ine. In understand 1 am also required
to abtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) v ,��D��
Name: � Address_ ��v �'j"�'' Yl �
Phone Number �����-��" "~' p� � "' ��v r I�
�Sign� Witness Signature 1
OLD METER# r� �CJ��_b� �
OlD READING v— t��/��
NEW METER# �- 1 ��(] �U�
NEW READING O
ERT# � Z� � D �6.J ��
FRtDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AIVD SANITARY SEWER
ADMINISTRA'f10N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191t
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiidMg for which the
application is made,the owner or contractor sha{i be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notif"�ed. It shall be unlawful to cover
any connecting line unti{an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the in�tial connection has been made to the water service curb stop box or the sewer lead at the properiy line or a water service lead has
been extended to the property line for connection,the applicant.owner,or occupant or user of such premises shalt be IiaWe for atl repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests meintenance service or repairs be performed hy the City,the property owner sha{I be charged for tfie costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of tfie sewer service tine 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. (Ref 638,1156,1191)
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