Meter Swap z
' Request Number: 15076
Public Works Division
Service Request
Problem Address: 6880 East RivEr Rd Requested By: Acma
Department: WA'IER Address: No address�xovicled
Problem/lssne: INSTALL AMR METER Phone Number: 571-6433
Scheduled Date: _ 2017-OS-04 � 5chednled 1Ime: 07:00:00
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ACITON NEEDED:
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,� Cre�ted by: Wendy Hiatt Date Created: 2017-OS-OI
ACIION TAI�N: �/��
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Status• In Progiess 5ubmitter Has Been r.
Contacted
Date Completed: � ^ L„{ ,,,., �-7 Completed by: ��,`�
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` City of Fridley S(/�i'i� ���Q�
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-35fi6
Ijwe hereby authorize the City of Fridley and/or its empioyees 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 interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur wfiile doir�this
operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop box and service line. In undersEand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ������
Name: �hV1 G�. Address `� U�� ��F?� t�-[UZ(� f-C�.
Phone Number �� ' �� >� Date �'� / ~ ��
Signature Witness Signature
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OLD METER# (�
OLD READING ��� � ���
NEW METER# � t v`V U I O i
NEW READING d
ERT# ����3dd�
FRlDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN{STRATION
{Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiWing for whid�the
appfication 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
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the Citq as a
proper and witable connection.
402.06 REPAtRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box o�the sewer lead at the property line or a water aervice fead has
been extended to tfie property ltne for connection,the appiicant,owner,or occupaM or user of such premises shail be liable for alf repairs
required to any water line and sewer lines necessary for connection of the premises f�om the main to the premises. If the property owner
requesis maintenance service or repairs be performed by the City,the property owner shait be charged for the costs af the matntenance andJor
repairs,including necessary street repairs at a rate set annuafly by a�administrative policy. It shall be the responsibility af the applicar�t,
owner,oaupant or user to perform standard maintenance of tfie sewer service line from the premises to the main including deb�is dea�ing 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 tfie finished
grade of the land or property. (Ref 638,1156,1191f