Meter Swap , Request Number: 16114
�
Public works Division
Service Request
� Problem Address: 8071 Fairmont Circle Requested By: Beverly
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-0549
Scheduled Date: � Scheduled Tlme: 09:00:00
�'�(
ACTION NEEDED:
Created by: Wendy Hiatt Date Crented: 2017-06-23
ACTION TAI�N:
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Status: In Progress Snbmitter Has Been r ' "
Contacted
Date Completed: (" ` ��� Completed by: ���
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City of Fridley ��� L���'(�
Water Department
� 6431 University Avenue NE
Fridley, MN 55432
763-572-3566
��`"�e hereby authorize tfie City of Fridley and/or its employees to do what is necessary to
replace the water meter. {understand that the property owner is liable for the water line from the main to the premise and aN interior
plumbing. (Per City code 402.06) 1 aiso hold the City of Fridley and/its empioyees fiarmless for any damages that may oocur while doing this
operation. This to include,6ut not limited to vatves,piping,waiis,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a perm�t prior to arry work,if necessary.
F1NAL METER READING(old meter) �� ` � � � �
Name: t�`�i��r�'�i Address �v� � ��1�1/tDVI.� (��I� Ci�
Phone Num r 1 ��I Date � 'r � ` ^— ��
�Signature Witness Signature
OLD METER#�(/`� ��� F
OLD READING l�`"'�� � `��
NEW METER# I t � ✓��O �
NEW READiNG V
ERT# � ��� t V � V
FRIDLEY Cf7Y CODE
CHAPTER 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 construding or repair of any water of sEwer line connecting the existing municipal system and any house or buikting fw which the
apptication is made,the owner or contraccor shall be required to obtain a pennit for such connection,and shaff pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be u�lawful to cflver
any connecting line until an inspectivn has been made and such connection and the work incident thereto has been approved by the C7ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEWANCE TO CONNECTION
After the initial connectiort has been made to the water service curb stop box or the sewer lead at the property line or a water ssrvice fead has
been eutended to tfie property iine for connection,the applicant,owner,or occupant or user of such premises shali be tiabie for ail repairs
requlred to any water line and sewer lines necessary for connection af the premises from the main to the premises. if the Qroperty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the casts of the maintenance and/or
repairs,incfuding necessary street repairs at a rate set a�nualty by an administrative poliry. it shait be the responsibility af the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrtain the water senrice curb stop box for operability and at sucfi height as wiN ensure that it remains above the frnished
grade of the land or property. (Ref 638,1156,1191}