Meter Swap ' Request Number: 15563
Public Works Division
Service Request
Problem Address: 280 Ely St Requested By: David Maas
Deputment: WATER Address: No address provided
ProblemllBsue:' INSTALL AMR METFR Phone Number: 763-783-9008
5cheduled Date: 20 7-OS-31 Schedaled'Iime: 10:00:00
ST
ACI'ION NEEDED:
Created by: Beth Kondrick DAte Crested: 2017-OS-25
ACIION TAI�N:
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St�tns: In Progress Sabmitter H�s Been r
Contacted
Date Com�eted: Completed by:
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�ity of Fridley 3�� ✓ v / ��'� '��
� Water Departrrtent �� � � ��
6431 tJniversity Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the�ty of 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 premTse and all interior
plumbing. (Per City code 802.a6) 1 also hold the Crty of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wafis,floors or the curb stop boz and service line. In understand!am aiso required
to abtain a permit prior to any work,if necessary.
FINAL METER READIN6(old me#erj_ ����� ��./
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Name:_��'V 1� 1' 1Q�Q�,Lj Address � �
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Phone lYumber� ^ Date �S �' � 1�� ��
"�SF��ure `D�n��Rl ' Witness Signature
OLD METER#_, t�b�o�2j
OLD READING ��q D�ZU
NEW METER# ���� � I ��
NEW READING O
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FR(DLEY CITY CODE
CHAPTER�02.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATfON
(Re#Ord No 113,464,565,566,624,638,662,922,988,1144,1156,1191)
4�2.5 PERMtT FEE
Prior to constructing or repair ofi any water of sewer line connecting the existing municipal system and any house ar buitding for which t{�e
appfication is made,the owner or contrador shall be required to obtain a permit for such cannection,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 shaU be notified. It shall be uniawful to cover
any connecting line urrtil 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 MAINTENANCE TO COPlMECTION
After the initial connection has been made to the water service curb stop box ar the sewer lead at the property line or a water servke{ead has
been exteoded to the property line for connection,the app(icant,owner,or occuparit ar user af such premises shall be tiab{e for afl repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shalt be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annualty by an administrative poliry. !t shall be the responsibility of the appliqnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the r�vater service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the(and ur property. (Ref 638,1156,1191)