Meter Swap y
Request Number: 16232
Public Works Division
Service Request
Problem Address: 563 Fairmont St Requested By: Lan Nguyen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-916-2851
Scheduled Date: 2017-07-06 Scheduled'lime: 08:30:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-OS
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ACTION TAI�N:
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by:
Hours �
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City of Fridley �� � �..����,�
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
rep(ace the water meter. t understand that t6e property owner is liable for the water line from the main to the premise and atl interior
plumbing. (Per C'ity code 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operetion. This to include,but not limited to valves,piping,walis,floors or the curb stop boK and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING old met �� � 1 `-' �O
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Mame• Address�� �����/`, �
Phone Number �� � �1 Date� �� �^ 1 1
� Signature��/ /� �_J- Witness Signature
OLD METER#___��� �� O
OLD READING � b � 1 � [�
NEW METER# _"1 1 �� �`o W
NEW READING l_ J
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566, 629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and any house or building for which the
application is made,the owner ar cor�tractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Oepartmerrt shait be notified. tt shai(be uniawfut to cover
any connecting line until an i�spection has been made and wch wnnection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COIYNECTION
After the initia�connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water seroice kad has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of wch premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be char$ed for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It sfiail be the responsibility of the applicarrt,
owner,occupant or user to perform sta�dard mairrtenance of the sewer sewice line from the premises to the main includirrg debris clearing or
root cutting and to maiirtain the water service curb stop box for operabii'ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)