Meter Swap � Request Number: 15204
Pabfic Works Division
Service Request
Problem Addresa: 6813 Hickory St Reqnested By: 3eff Ostrowski
Depsrtme�t: WA'IER AddreBa: No address providcd
Problem/Issue: INSTALL AMR METER Plwse Number: 5741760
Sche�ded Date: 2017-OS-09 Sc�e�nle�Tin�: 09:OO:W
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ACIION NEEDED:
Created by: Wendy Hiatt Date G�e�ed: 2017-OS-08
ACIION TAKEN: �
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5tatua: In Progress ��tter�Been r,
Covtacted
Date Completed: Completed by:
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City of Fridley �"�.� (,�,j�
Water Department J ���
6431 University Avenue NE
Eridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is�ecessary to
replace the water meter. 1 understand that the prope�ty owner is tiable for the water line from the main to the premise and all irrterior
piumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for a�ry damages that may octur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ����
Name:�Qi� ��J`C`1(�7�-�Cj� Address �t.J�� ��\��� ��
Phooe Number � � V`�� ��1Q`,� Date � ����
Signature Witness Signature
OLD METER# J `��� ���
OLD READING ��`O ���1 �
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NEW METER# �'l ��V� I ZlJ
NEW READING �
ERT# I ' ��V���
FRI�LEY 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 constructing or repair of any water of sewer line connecting the existing munkipal 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 shali pay a permlt fee as provided i�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be notH�ed. it shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the wor4c incident 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 6een made to the water service curb 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 applicant,owner,or occupant or user of such premises shalt be liable for all ropairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the properry owner
requests maintenance service or repairs be perFormed by th�City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set a�nuaily by an administrative policy. ft shall be the responsibil'dy of the ap�caM,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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