Meter Swap ►
` Request Number: 15244
Public Works Division
Service Request
Problem Address: 7181 East River Rd Requested By: Barb
Dep�rtment: WA1ER A,ddress: No address p�ovi�d
Problem/Issue: INSTALL AMR METER Phone Number: 6 i 2-810-0632
5chedtiled : 2017-OS-10 Scdeduled'ti�ae: 09:00:00
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ACITOI+i NEEDED:
Created by: Wendy Hiatt Dxte Cre�ted: 2017-05-09
ACTION'FAI�N:
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Status: In Progress Snbmttter Hss Been r,
Contacted
Date Compteted: r^ �tl� !� Compietedby: �a `, �
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' City of Fridtey
Water Departrnent
6431 University Avenue NE � � ���� "��
Fridley,MN 55432 �%��
763-572-3566 �� � /,
1/we hereby authorize the City of Fridiey and/or its employees to do what is oecessary to
replace the water meter. i understand that the property owner is liable for the water lir�e from the main to the premise and all ir�terior
ptumbing. (Per City code 402.06) t also hold the City of Fridley and/its employees harmless for any tlarrtages that may ouur while doing this
operation. This to inciude,but not limited to va(ves,piping,watls,floors or the curb stop box and service iine. in undenYand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �`C �C O
Name• `✓�^-�f`� Address � ' � I ��i�' �(�� �•
Phone IYumber `�.��`v�� —' D��� Date �1'"L v � � l
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3ignature Witness Signature
OLD METER#_ ���� �� ��
OLD READING ��`� �` v
NEW METER# l I(�V �O� J
NEW READING �
ERT# ���' �J��
FRIDLEY CI7Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Qrd No Z13,454,565,566,629,638,662,922,988,1144,1156,1191) .
402.5 PERMlT FEE
Prior to constructing or repair of arry/water of sewer lir�e conrrecting the existing muntcipa!system and arry house or bulWing for whkh the
application is made,the owner or contractor shall be required to obtain a permit for suth 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 Departmer�t shalf be not�ed. it shalt be unlawfut 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 connedion.
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 servke lead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of such premises shall be liable for ali repairs
required to any water line and sewer lines necessary for cortnection of the premises from the main to the prem�ses. If the property owne�
requests mairitenance service or repairs be performed by the City,the property owner shail be charged for the cons of the mairnenarne and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibitity of the appticant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main indudir�g debris clearir�g or
root cutting and to maintain the water service curb stop box for operabilFty and at such height as will ensure that it remains above the finished
�rade of the land or property. (Ref 638,Ii56,1191)