Meter Swap ,
_ Request Number: 15306
Public works Division
Service Request
Problem Address: 6930 Hickory Dr Requested By: Andy
Department: WA1ER Address: No address provirkd
Problem/Issne: INSTALL AMR METER Phone Number: 612-889-2439
Schedaled'Date: 2017-05-15 Sched�led Time: 09:0(?:00
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ACT'ION NEEDED:
Created by: Wendy I�iiatt 1Mte Created: 201'7-03-12
ACTION T'AI�N: !
�.5��-5���� .
Statos: In Pro�ess Submitter Has Beea �.
Coutacted
1?ate Com�rteted: �_ ��_ �`� �Coa�leted by: ��L�
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• City of Fridley � , `_ �,�
Water Department � �L,QY;I
6431 University Avenue NE r
Fridley, MN 55432
763-572-3566
�/We hereby authorize the C'ity 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 iMerio�
plumbing. (Per City code 402.06) I also hoid the City of Fridley and/its employees harmless for any damages ihat may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � �O� � "
Name: i���"1 Address Y� ✓� ��`L 1� �•
Phone Number �-1Z� �U 1"' ��� i Date S '- �� ` � [
Signature Witness Signature �r
OLD METER# _��� � � 1��
OLD READING
��,� V��l/ ;;�'_
NEW METER# ` ���� 1 � U
NEW READING � �,;"
ERT#
�, ��a-�C��� �F�`���
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 connecti��he existing municipal system and any house or building fo�which the
application is made,the owner or contractor shaU be required to obtain a permit for such ccn�ection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlaMrful to cover
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop boz or the sewer lead at the property line or a water serWcx lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Itabie for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the City,the properly 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 poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris cleariag or
root cutting and to mairrtain 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)