Meter Swap � Request Number: 15565
PuMic works Division
Service Req�st
Problem Addreas: 272 Ely St Requested By: Diane
Department: WATER Addresa: No address p�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-784-4358
Scheduled Dat� 2017-OS-3 � Sc6edaled 1lme: 11:30:00
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`� ACTTON NEEDED:
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^Created by: Beth Ko�rick Date Created: 2017-OS-25
ACIION TAI�N: • - `
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Status: In Progess Snbmitter Hns Been �.
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D�te Completed: �� �!,_�� Completed by: ���
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. ` �City of Fridley ��� ��v7 J �� � ��
Water Department
6431 University AVenue NE �, � � 1 �?�
Fridley, MN 55432 ����
763-572-3566
���Ne hereby authorize the Cityr of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is liable for the water line from the main to the premise and aii irrterior
plumbing. (Per City code 402.06j 1 also hold the C'rty of Fridley and/its employees harmiess for arry damages that may occur while doing this
operation. This to include,but not lim'rted to valves,piping,walis,floors or the curb stop box and senrice line. in understand i am also required
to abtain a permit prior to arry work,if necessary.
FIPIAL METER READING(old meter) � �� ��✓
Name• _ �����'� Address ��� 'G L•� /�•
Phone Number ` �V 4 ✓��� e ' �-- �,�
�Signature itness Signature �-
OLD METER#_ � � � �/ 4�� �
.
OLD READING � � C,O `�G
NEW METER# ` ���� 4� lX
NEW READlNG v
ERT#_ �a� � � U � �
FRIDLEY CITY CODE
CHAF�TER 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 constructing or repair of any water of sewer line connecting the existing municipal system and arty house or building 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 in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shall be un(awful to cover
any connecting line urrtil an inspection has been made and such connedion and the work inadent thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be fiable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property oarner
requests maintenance service ar repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer seroice line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box far operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191j