Meter Swap _ y Request Number: 1517�
Public works Division
Service Request
Problem Addresa: 7315 East River Rd Requested By: Mary Aim
Department: WA1ER Address: No address provicled
Problemllasue: INSTALL AMR METER Phone Number: 612-839•7434
Schedaled Dates 2017-OS-08 Schednled 11me: 09:f30:00
� �
ACIION NEEDED:
Created by: Wendy Hiatt D�te Created: 201?-OS-OS
ACIION TAKEN:
-�. � `�
Status: 1n Progress Snbmitter Has Beea �,
Contacted
Date Compieted: �_ �� � Compteted by: ���Y
��s- .��t ��o -�s
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Ciiy af Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�I+we hereby autho�ize the City of Fridfey and/or its employees to do what is necessary to
repface the water meter. i understand that the propert�t owner is liable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for ar�y damages that may oc�r while doing this
operation. This to include,but not limited to vah+es,plpi�g,walls,floon or the curb stop box and senrice line. in understand 1 am aLso required
to obtain a permit prior to any work,ff necessary.
FfNAL METER READING{o!d meter)_ ��� �C�`�
Name: �GL�t`� �YVr�- Address__ 1 ��� `� "`J� t�.a+�-r �
Phone Number ���' ^ v��— 1�3L� Date � �v � � l
Signature Wftness Signature "r�'
OLD IVtETER# ����C�V��
OLD READING ���� � ✓ �
NEW METER# �� f � � �� "
NEW READING �
ERT# � � � � � � � �
FRIOLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTt2AT10N
(Ref Ord No 113,464,565,566,629,638,662,922,988,11A4,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connetting the ex�sting municipal system and any house or building for which the
application is made,the oarner or contractor shati be required to obtain a permit for such connection,and shall pay a permit fee as pmvided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DeparCment shafl be notified. It shali be unlawful to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and witable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
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 senrice lead has
been extended to the property line for connettion,the applicant,owner,or ocwpant or user of such premises sha{t be liable for ait repairs
required to any water line and sewer tines necsssary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the properiy owner sfiall be cha�rged for the costs of the maiMenance and/or
repairs,inctudi�g necessary street repalrs at a rate set annually by an administrative policy. It shall be the responsibifity af the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including deb�is 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 abave the fieished
grade of the land or property. (Ref 638,1156,1191)