Meter Swap Request Number: 15205
Public Works Division
Service Request
Problem Addresa: 7083 Hickory Dr Requested By: Na�y An�ews
Department: WATER Address: No adckes�provided
ProblemJlsaue: INSTALL AMR METER Phone Nnmber: 612-388-'7084
Sche�ed Dxte: 2017-OS-09 ,�.� 5chedaled 11me: 08:30:00
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ACIION NEEDED:
Created by: W�ndy Histt Date Cre�ed: 2017-05-08
ACIION TAKEN:
4 '�"O�, �r�
Stntus: In Progtess �bmitter H�Been r,
Co�tacted
Date Completed: Completed by:
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City of Fridley
Water Department C�� �f��,��
6431 University Avenue NE �G�J L
Fridley,MN 55432
763-572-3566
ijwe fiereby autharize the City of Fridley and/or its empfoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the wates line from the main to the premise and all iriterior
plumbing. (Per City code 4�2.06) 1 also hoki the City af Fridley andjits employees harmless for any damages that may occur wfiile doing this
operation. This to include,but not limited to valves,piping,walls,ftoors 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(otd meier) �i.�U ��
Name:_�V�'�Q� ������'1 LW`) Address_J O J J � �YG�`�f 1�
Phone Number �t l�� �i°�'���`�' � Date_�� `J Y�
Signature 1 Witness Signature
OLD METER# � ������
OLD READING �ZV-) ` w
NEW METER# � _ "t D�l �� � 1q
NEW READING �
ERT# � 4��0��`
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464�,565,566,b29,638,662,922,988,1144,1156,1191)
4Q2.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipa!system and any house or building for which the
application is made,the owner o�contractor shail be required to obtain a permit for wch 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 Departmerrt shalf be notified. It shalt be unlawful to cover
any conneding line unti!an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiaf connection has been made to the water senrice wrb stop box or the sewer lead at the property line or a water senrice lead has
been eactended to the properCy line for connection,the applicant,owner,or occuparrt or user of such premises shaN be liat�{e for ail repairs
required to any water line and sewer lines necessary for conr�ection of the premises from the main to the premises. If the prcperty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�rtenance and/or
repairs,including necessary st�eet repairs at a rate set annually by an administrative poliry. It shall be the responsibillty of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris clearing or
, root cutting and to maintain the water service curb stop box for operabil'ity and at such height as wil!ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)