Meter Swap �
�� Request Number: 16201
Public Works Division
Service Request
Problem Address: 547 Fairmont St Requested By: James
Department: WATER Address: No address provided
Problem/Tssue: INSTALL AMR METER Phone Namber: 763-785-2762
Scheduled te: 201 06-30 � Schedu{ed'lime: 10:30:00
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ACIION NEEDED:
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Created by: Wendy Hiatt Date Created: 2017-06-29
ACTTON TAI�N:
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Status: 1n Progress Snbmitter H�s Been r
Co�acted
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� Date Completed: Completed by:
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� �ity a�f Fridley ��� � �� �
• Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridtey 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 all interior
plumbing. (Per�ty code 402.06) 1 also hold the City of F�idiey and�ts employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in understand 1 am also required
to obtain a perm�t prior to any worlc,if necessary.
FINAL METER READING(old meter)
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Name: Address � 1� '�/il�r 11��a��
Phone Number �� ? �ip�_��� � ��
�Signature Witness Signature
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OLD METER# k� 1 ��
OLD READING S����� b
NEW METER# '"�- 1 ��� 1 Z
NEW READING O
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ERT# � �� I l��J �`�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEINER
ADMINtSTRATION
(Ref Ord No 113,464,565,5.66,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to eonstructing or repair of any water of sewer line connecting the existing municipal system and any house or buifding for whtch#�e
application is made,the owner or corrtractor shall be required to obtain a permit for such�nnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shalt be notiHed. R shall be uniavvful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has beert approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION �
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water servic�(ead has
been extended to the property line for connection,the appiipnt,owner,or occuparrt or user of such premises shall be liabie for ail repairs
required to any water line and sewe�lines necessary for connection 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 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 applicarit,
owner,occupant or user to perform standard mairitenence of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrkain the water seroice curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Refi 638,1156,1191)