Meter Swap .. ` Request Number: 15072
Public Works Division
Service Request
Problem Address: 137 Hartmann Circle Requested By: Sean Miller ;�•�
Department: WA'IER �4ddress: No address provided ,,.�+�y
Problem/Issne: INSTALL AMR METER Phune Number: 763-571-1829
Scheduled Date: 2017-OS-03 � Schednled'ijme: 01:00:0(}
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_ ACIION NEEDED:
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Created by: Beth Kondrick Date Created: 2017-OS-01
ACIION TAI�N: � �
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Status: In Progress Saba�ttter�ias Been �..
CoM�ted
Date Completed: �� Completed by: ���
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City of Fridiey �O .�.( ��� �
Water Department ft"
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�lwe hereby authorize the City af Fridiey and/or its employees to do what is necessary to
replace the water meter. !understand that the property owner is Itable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) 1 also hold the City of Fridley andJits employees harmless for any damages that may ocwr while doing thls
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service Itoe. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter �"" � ���
Name:LG� " "����+► Address �� � 3 v"� `�'� �
Phone Number !� "���,� V�� Date �� � '�� ��:_ �'
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Signature Witness Signature
OLD METER# �� l �v "�� ;:' `�
OLD READING
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NEW METER# �� �b �I � `
NEW READING V
E�# `� �a�-3���
FRIOLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAT{ON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water af sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee�provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawfui to�ver
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the C�ty as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENAMCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewe�lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or ocaipant or user of such premises shall be liabfe for all repafrs
required to any water line and sewer lines necessary for connection of the premises from the main to tfie premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the tosts of the mairitenance and/or
repairs,including necessary street repairs at a rate set annua{ly by an administrative poiiry. It shall be the responsibility of the appiicaM,
owne�,occupant or user to perform standard maintenance of the sewer service{ine from the premises to the main lnclu�ng debris clearing er
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)