Meter Swap i Request Number: 15291
P�ltc Worka IKv�ion
Service R�quest
Problem A+ddress: 7027 Hickory Dr Requested By: Tom Awaij�e
Depnrtment: WATER Address: No ad�ess provid�ed
Problem/Isaue: INSTALL AMR METER Phone Number: 763-229-3473
Scheduled Dite:,�2017-OS-16 � Sc�eduled 1lme: 10:00:00
� �/�
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2U17-OS-11
ACTTONTAI�N:
...�.�G�-�,��......�.�`� ._�_� __.__w__._.... _._____.
Status: In Progress Submitter Hn�Been �,
Contacted
Date Compteted: Completed by:
s� (�- I� ���
+ City of Fridley / j��I /`� ��
� Water Department QJR � � CJ [ ��
6431 University Avenue NE vv
Fridley,MN 55432 �
763-572-3566 �„p�� ��
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�/We hereby authorize the City of Fridley and/or its employees to do what�S 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 ir�terior
plumbing. (Per City code 402.06) i also hold the City of Fridley andrts employees harmless for any damages that may oaur whi(e doing d�is
operation. This to inciude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(otd meter) � t � � �I �
Name: ,�a Address �� �Y� ��
� � ����� �� � � ��
Phone Number
Signature Witness Signature
OLD METER# ������ � �
OLD READING � ` �/� ��V
NEW METER# ���� � ��U �
NEW READING �
ERT# ` � � � ! ���Q
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal 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 shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shaif be notified. It shail be unlawfui to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Cty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been 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 wch premises shall be liable for all repairs
required to any water tine and sewer iines necessary for connection of the premises from the main to the premises. ff the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mair�tenance 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 mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water senrice 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)