Meter Swap r Request Number: 15220
Public Works Division
5ervice Request
Problem Address: 6755 East Ri�ner Rd Requested By: Roberta Moore
Department: WA'IER A�reaa: No addresa provided
Problem/Iss�: INSTALL AMR METER Phone Number: 574-9405
Sckeduled Ilat� 2017-OS-lb Schedeied 11me: 09:00:00
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ACIION NEEDED: '`�
Created by: Wendy Hiatt Date Cre�ed: 2011-OS-08
ACIION T .
StAtus: In Pro�ess Sabmitter Haa Beea �.,
CoMscted
Date Completed: Campleted by:
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i
' City of Fridley
Water Department �� � t`,��G�'/ /'� �j��
6431 University Avenue NE � � � V v
Fridley,MN 55432 ��- �� l �
763-572-3566
I/we hereby authorize the City of Fridley and/or its empioyees 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 aad all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER REAOING(old meter) ��� '��w
Name: �� ������. Address �O� �� ���D� v�Ci�
Pho�e Number_��� /" �o� Date ����_ I�
Signature Witness Signature
OLD METER# I��Z 6 ��q
OLD READING �J��CJ��V
NEW METER#_l�U� � ��
NEW READING �
ERT# � � � I �l�t i
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY 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 line connecting the existing municipal system and any house or buildlr�for which the
application is made,the owner or contractor shali be required to obtain a permit for such connectton,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be nottffed. It shail be uniawful to cover
any wnnecting line until an inspection has been made and such connection and the work incident thereto has been approved by the�ty 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 ot the sewer lead at the property line or a water service tead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the p�emises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line 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 fand or p�operty. (Ref 638,1156,1191)
.
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