Meter Swap s
. Request Number: 15133
P�blic Works Division
Service Request
Problem Address: 7043 Hickory Dr Reqnested By: Doris
Department: WATER Acldress: No address provided
Problem/Issue: INSTALL AMR METER Phom Number: ?63-571-2972
Schednled D�te: 201?-QS-12 Scheduled Ttme: 08:30:00
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ACTION NEEDED:
Cre�ii by: Beth Kondrick Date Created: 2017-OS-03
ACTION TAI�N:
..._................._.�s���--�--�..�. ._..�_ ___.�._.�...._._.____
_ _ _
Status: In Progress Submitter Has Been �,
Contacted
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Date Completed: �--- ��_ � Completed by: ��\, �
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. So�- �o�.�
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its empfoyees ta do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
pfumbing. (Per City code 4fl2.06) f also hold the City of Fridley and/its employees harmfess for any damages that may occur while doing this
operation. This to include,but not fimtted to valves,piping,walls,fioors or the curb stop box and service fine. in understand 1 am alsfl r�equired
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj__ �"���� �
Name: _ ���15 Address � v � 1 ll�-�� �,
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Phane Number �"'�� ���� � / �o�— p� � � ��,`— 4�
Signature Witness Signature
OLD METER# �v� C�(, �
OLD READfNG `�� I"- C�
NEW METER# 1�C�LD o`���
NEW READING �
ERT# �� � � �� /
FRIDLEY ClTY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIQN
(Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to constructing o�repair of any water aF sewer line wnnecting the existing municipal system and any house or building for wfiich the
appiication is made,the owner or wntractor shall be required to obtain a permit for such connection,and shaN pay a permit fee as provided in
Chapter ii of this Code. After such connectton has been made,the Water and Sewer Department shall be not�ed. it shall be unlawfu{to cover
any connecting line until an i�spedion has been made and such connection and the work incident thereto has been apqroved by the City as a
proper and suitable wonection.
402.06 REPAIRS ANp MAINTENANCE TO CONNECTION
After the initial co�nection has 6een made to the water service wrb stop box or the sewer lead at the property line or a water servke tead has
been extended to the property fine for connection,the appliwnt,owner,or occupa�t or user of such premises shalf be liabie fo�all repairs �
required to any water tine 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 shail be charged for the costs of the mairrtenance andjor
repairs,including necessary street repairs at a rate set anr►ually by an administrative poiiry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from tfie premises to the main lncluding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wifi ensure that it remains above the finished
grade of the land or praperty. (Ref 638,1156,1191j