Meter Swap �
' Request Number: 16097
Public works Division
Service Request
Problem Address: 8000 East River Rd Requested By: Brant Pfeiffer
Department: WA'IER Address: No address provided
Problem/issue: INSTALL AMR METER Phune Number: 612-203-0925
Schednled Da�te: 017-06-23 Schednled'Iime: 08:30:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Crented: 2017-06-22
A ON TAI�N:
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Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: Completed by:
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City of Fridley �D�/ � /�/�
' Water Department �� `�< <�
� 6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the Gty of Fridtey and/or its employees bo do what is necessary to
replace the water meter. i understand that the property owner is liable tor the water Iine from the main to the premise and all irrterior
plumbing. (Per City code 4Q2.06) 1 also hold the City of Fridley and/its employees harmless for arry dama�es that may ocaar while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. in unden�tand 1 am also required
to obtain a permit prior to any work,if necessary.
FIPIAL M R READtNG(oid r) � � � � � �
Name: �� ���� Address 1�� v V`�`�_
( � D� /' ^ ..,
Phone Number b �� 1� �� �
�Signature Witness Signature
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OLD METER# a��� � � z�
OLD READING Ir � ` I ��
NEW METER# 6 1������
NEW READINGV
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,i191)
4025 PERMIT FEE
P�ior to construtting or repair of any water of sewer line connecting the exisCing municipai system and arry house or Iwilding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided tn
Chapter 11 of this Code. After such connedion has been made,the HVater and Sewer Department shall be notified. It shatl be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENAPICE TO COPINECTION
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 senrice iead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be Itabie for all repairs
required to any water line artd sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the�ty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main including debris clearing or
root cutting and#o mairrtain the water service curb stop box for operabil'rty and at such height as will ensure that it remains above the finished
grade of the(and or property. (Ref 638,1156,1191)