Meter Swap ,
` Request Number: 15890
Public works Division
Service Request M��
ProMem Address: 7905 East Riv�er Rd Requested By: Mike Klismith
Department: WATER �ddress: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-532-Z994
Scheduled Date: 2017-06-20 5chednled TIme: 10:30:00
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ACTTON NEEDED:
Created by: Beth Ko�rick Date Created: 2017-06-08
ACITON TAI�N:
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Status: Tn Progress Submitter Has Been r,
Contacted
Date Compteted: Completed by:
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• �ity of Fridl2y <�� �'��'
• Water Department V
6431 tlniversity Avenue NE
Fridley, MN 55432
763-572-3565
��We hereby authorize the City of Fridiey and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Pe�City cade�02.06) 1 also hold tfie City of Fridley and/its employees harmless fo�any damages that may occur while doing this
operation. This to indude,but nut limited to valves,piping,walts.floors or the curb stap box and service line. In understand I am also required
to obtain a permit prior to any wortc,if netessary.
FINAl.METER READIWG(old meter) �V � ra
Name: 1'y f WC� F-'s'�� Address (t'1�� F--1�-�3� �
Phone Number � V� ��' ��� Date �� w r ��
Signature W itness Signature^��L----^r"
OLD METER# __ I �� J C�� I
OLD READtNG � �� ���
PIEW METER# "�l 1 �Z���
RIEW READING �
E�#; �235�,��0 �
FRiDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANI7'ARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156,I191)
402.5 PERMIT FEE
Prior to construct;ng or repair af any water of sewer line connecting the existi�g municipal system and any house or buiiding for which the
appiication is made,the owner or coritractor sha(I iae required to obtain a permit for such connection,and shall pay a permit fee as provided to
Chapter li of this Code. After sucfi connection has been made,the Water and Sewer Departmerrt shall be notified it sha41 I�untawful to cover
any connecting line until an inspection has been made and such connection and the uirork incident thereto fias been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAIAI'fENAhtCE TO CONNECTIOPI
After the initial connectiort has been made to the water sgrvice curb stop box or the sewer lead at the property iine or a water servioe tead has
been extended to the property line for wnnection,tfie appficarrt,owner,or occupant or user of such premises shall be lia6le for ail repairs
required to any water tine and sewer lines necessary for connection of the premises from tfie main Co the premises. tF the property owner
requests maintenance service or repairs be performed 6y the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs.including rtecessary sCreet repairs at a rate set annuaily by an administrative policy. It sfiall be the responsibiliry af the appliprit,
owner,occuparrt or user to perForm standard mair�tenance of the sewer service tine from the premises to the main inctudTng debris dearing or
root cutting and to mairitain the water senrice curb stop box for operability and at such height as will ensure that it remains above the�nish+ed
grade of the land or property. (Ref 638,1156,1191)