Meter Swap ' Request Number: 15137
4
PI1�1C wOI'kS D1V1S10I1
Service Request
Problem Address: 7105 East River Rd Requested By: Janna Johnson
Department: WATER Addcess: No ac�ress provi�ed
Problem/Issue: INSTALL AMR METER Phone Number: 612-?8?-8100
Scheduled Date; 17-OS-26 Sc�ednied'I]me: 01:00:00
• e�-L-e..� '
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-04
ACTION TAI�N:
............ ................______�...._..___..�..._.__._._____...______._.___ ...__..........._........._...._.........�.._.__.._._.....__._ _...._......._.._.__._._...._.______.._. ...____._.__..�
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Status: �n Progress Submitter Has Been r
Contacted
Date Compfeted: Completed by:
Hours
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- City of Fridley �� ,a,J_ ���?j
Water Department `F+�
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City of Fridiey and/or its emploYees to do what is�ecessary to
replace the r. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (P r C'�ty code 402.06) 1 also hoid the City of Fridley and/'rts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vafves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtatn a permit prior to any work,if necessary. '� ��� � ���,� �
FINAL METER READING(oid meter) �5�a 4�50
Plame: qddress
Phone Number p�
Signature Witness Signature
OLD METER# �3 Z J`—gj2,,,,�
OLD READING �S�LI—I�JO
NEW METER# "i�22-fOO�1�I
NEW READING �^ �
ERT# ffiiilililiilillllliii E
11 72355072
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAPIITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer Iine connecting the existing municipa!system and any house or buiWing for which the
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be u�lawful to cover
any conneding 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 wKable connection.
402.06 REPAIRS ANb MAINTENANCE TO CONNECTION
After the initial connection has be�n made to the water service curb stop box or the sewer iead at the property line or a water se�lead has
been extended to the property line for connectfon,the applicant,owner,or oaupant or user of such premises shaN be liabie for ail repairs
required to any wate�line and sewer lines necessary for connection of the premises f�om the mai�to the premises. {f the property o�wner
requests maintenance service or repairs be perFormed by the City,the property owner shali be charged for the costs of the mair►tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the apQlicant,
owner,occupant or user to perform standard maintenance af the sewer service tine from the premises to the main including debris 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 above the finished
grade of the land or property. (Ref 638,1156,1191)