Meter Swap ,
_ Request Number: 15142
Public Works Division
Service Request
Problem Address: 6952 Hickory Pl Requested By: Lois Christiaa
Department: WA'IER Address: No a�dress provided
Probtem/Issue: INSTALL AMR METER Phone Number: 572-1888
Sc6edule te: 2017-OS-12 Sc6eduled'll�ne: 02:UO:W
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ACTION NEEDED:
Created by: Wendy Hiatt Date Ctaated: 2017-OS-04
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ACTION TAi�N: �
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St�us: In Progress Snbmitter Has Been �,
Co��ted
Date Completed: �j„_ �� _ I'� Campleted by: `��! �
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City of Fridley �v"G lJ
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
UWe 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 1ia61e for the water line from the main to the premise and ail interior
plumbing. (Per City code 402.06) I also hold the City of Fridfey and/its employees harmless for any damages that may aca�r while doing this
operation. This to include,but not limited to valves,piping,walts,floocs or the curb stop box and service li�e. In understand 1 am also required
to obtai�a permit prior to any work,ff necessary.
FINAL METER READING(old meter) '� ��-1L ��
Name: '"�t�6�J G�r��"I�C�,((1 Address l!���� ���-"' , 1 �` ,
Phone Number ��c�`r � �V TJ Date � � ��v � �
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Signature Witness Signature
OLD METER# _ ����1`�/ J `' �
OLD READING "��`t-��
NEW METER# � I v�lJ��� [
NEW READING `�
ERT# 1� �� I � ����
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,4G4,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contraetor 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 sucb connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been apprwn.M by the C�ty as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice wrb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the appltcant,owne�,or aaupant or user of such premises shali be liabie for all repairs
required to any water line 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 maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shalt be the respor�sibility of the applicant,
owner,oaupant or user to perform standard maintenance of the sewer senrice line from the premises to the mai�induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wilf ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191)