Meter Swap ,
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Request Number: 15127
Public Works Division
Service Request
Problem Address: 7221 East Riv�r Rd Requested By: Andy Elmer
DepArtment: WATER A,ddress: No address�xovided ;.
Problem/Issne: INSTALL AMR METER Phoee Number: 612-210-9348
i
Schednled Date: 2017-OS-04 Schednled 1ime: 08:30:00
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AC'IION NEEDED: �
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.��Crested by: Beth Kondrick Date Created: 2017-OS-03
AC1iON TAI�N: ��� �
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Status: In Progress Submitter Hna Beea r,
Contacted
DateCompteted: �„ �_ �� Completedby: (� `, ,�
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K City of Fridley �� 3�a 3
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley ar�dJor its employees to do what is necessary to
repiace the water meter. I 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 occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���� �
Name: �"'+-'�'l V l�1'e� Address ���� �t�� ��� IL•L-� .
Phone Number _��,Z-�` ��� � 1��� Date `" ~ � / ��
Signature Witness Signature
OLD METER# v v � �/ l `� ��
OLD READING �� / ���
NEW METER# ����`�'0�
NEW READING �
ERT# ���� � � � 1
FRfDLEY CfTY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANiTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERM17 FEE
Prior to constructing or repair of any water of sewer line wnnecting the existing municipal system and any house or building for which the
application is made,the owner or oontractor shall be required to obtain a permit for such connedion,and shall pay a permk fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be natified. It shall be unlawful to cover
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitable 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 Ilne or a water service lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liable for all 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 maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenanc,e andjor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of ffie applicarrt,
owner,occupant or user to perform standard maintenance af the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such hetght as will ensure that it remains above the finisfied
grade of the land or property. (Ref 638,1156,1191)