Meter Swap . Request Number: 14954
Public Works Di�vision
Service Request
Problem Address: 170 Hartmann Circle Requested By: John Hinser
Department: WATER Address: No address provi�d
ProblemlIssue: INSTALL AMR METER Phone Number: 763-571-6038
Schedule te: 2017-04-28 Schednled 1lme: 08:30:00
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ACTION NEEDED:
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Created b�rc Beth Kondrick Date Created: 201?-04-25
AC'IION TAt�N:
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Status: In Progress Sabmitter Has Been r,
Coutacted
Date Campleted: �+1 Q� --(� Completed by: C ��
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� City of Fridley �� �D'f`1
Water Department
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
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all i�rterio�
plumbing. (Per City code 402.06) 1 aiso hoid the City of Fridley and/its employees harmless for any damages that may occur while doing tfiis
operation. This to incfude,but not limited to valves,piping,walls,floors or the curb stop hox and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL M R READING(oid meter) t� V- 1,C ✓� "
Name: �d � ��i�1.�� Address � �/ �C(. <--lJ���`�
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Phone Number �b� ^ �� y�3� Date �"��'� �� �
Signature Witness Signature ^—
OLD METER# L �lJ����('l
OLD READING � v�� ���
NEW METER# ` I�YJ � 1 l 1
NEW READING V
ERT# � I I � ��� /
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
{Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and aay house or building for which the
appiication is made,the owner or corrtrector 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 Department shall be notlfied. It shall be unlawEu!to wver
any connecting iine until an inspettion has been made and such connedion and the work incident theceto has been approred by the City as a
proper and suitabie connection.
402.06 REPAIRS AIVD MAlNTENANCE'f(3 CONNECTION
After the initiaf connection has been made to the water service curb stop box or the sewer lead at the property line or a water�rvice kad has
been extended to the property line for connection,the app�icant,owner,or occupant or user of such premises shati be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main ta the premises. ff tfie property owner
requests maintenance service or repairs 6e performed by the City,the pcvperty owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard mairitenante of the sewer service line from the premises to the main induding debris clearing o�
root cutting and to mair�tain the water service curb stop box for operabilityr and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)