Meter Swap � Request Number: 15517
Public Works Division
Service Request
Problem Address: 6815 East Ri�ner Rd Requested By: Don Wieglar
Department: WA1ER Address: No a�lress provid�d
Problem/Issue: INSTALL AMR METER Phone Number: 511-9420
Schedriled D�te: 201?-OS-30 Scheduled 1lme: 01:0(?:00
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ACTION NEEDED: /'"��
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Created by: Wendy Hiatt Dste Created: 2017-OS-23
ACIION TAIZEN:
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Status: In Progress Submitter Has Been �..
Contacted
Date Completed: Compteted by:
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� City of Fridley
, Water Department � ��,,,E��'?S'7J�I
6431 lJniversity Avenue NE
� Fridley,MN 55432 ���
763-572-3566 (�2�-1
�J"�e ���~��'V ���2�`��hereby authorize the City af Fridiey and/or its emptoyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. {Per City code 402.06) i also hold the City of Fridley and/its emp{oyees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to vatves,piping,walis,floors or the curb stop box and service(ine. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINA!METER READ{N6(old meterj
Name• Address ���� ���iZ�l2d
Phone lYumber p� ��-'?�-�� �
Signature Witness Signatuce
OLDMETER# I�`7�� _
OLD READING '�-1 �C)I O `
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NfW METER# � 4922fii91
NEW READING "�� � ---^''_ __ .
ERT# IIIII IIIIII II IIIIII III E
_ 1 'I 72227274
fRIDtEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINiSTRATION
(Ref�Ocd No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE "
Prior to constructing or repair of any water of sewer iine cannecting Che existSng municipai system and any house or buiiding for which the
appfication is made,the owner or contractar shaii be required to obtain a permit for stsch connection,and shaif pay a permit fee as provided in
Chapter 11 of this Code. After such connection,has been made,the Water and Sewer Department shaU be noti�ed. It shall be untawFul to cover
any connecting line urnil an inspection has be�made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
4Q2.06 REPAIRS AND MAIRITENANCE TO CONPIECCtON
After the initial connection has been made to the water service curb sfiop hox or the sewer lead at the property line or a water service lead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shal{be liable for ait repairs
required to any water line and seaver lines necessary#or connection of tfie premises firom the main to the premises. tf the property awner
requests maintenance service or repairs be performed by the City,the property owner shafl be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annuaity by an administrative poticy. It shal4 be the responsibility of ihe applicarrt,
owner,occupant or user to perform standard mai+�tenance of the sewer service iine from the premises to the main inciuding debris dearing or
root cutting and#o mairrtain the water service curb stop box for operability and at such heigfit as wilf ensure that it remains above the finished
grade af the land or property. {Ref 638,1156,1191j