Meter Swap s>
� Request Number: 15458
Public works Division
Service Request
Problem Address: 6951 Hickory Pl Requested By: Adam Smith
Department: WATER Address: No address provided
Problem/�ssue: INSTALL AMR METER Phone Nember: 612-354-0150
Scheduled Date: 201?-OS-19 Scheduled Tlme: 08:30:00
, -� � 3�
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-18
ACTION TAI� : � ��
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Status: In Progress Submitter Aas Beeu r,
Co�acted
Date Compieted: Completed by:
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, City of Fridley y� Cj r �� �� DO� � �
Water Department
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6431 University Avenue NE ,�? //� //��j
Fridley, MN 55432 SC% � �f"�T T
763-572-3566
t/we hereby authorize the Crty of Fridiey and/or Pts employees to do whaC is necessary to
replace the water meter. I understand that the property owner is liabfe for the water line from the main to the premise and alt interior
plumbing. (Per City code 402.a6) 1 also hold the City of Fridiey andJits employees harm4ess for amt damages that may ouur while doing this
operation. This to include,but not limited to valves,piping,walts,floors or the curb stop box and service line. !n understand i am also required
to obtain a permit prio�to any work,if necessary.
FINAL METER READING(old meterj ���� ���
Name: �'�. Address T�w j
{
Phone NumberY��✓ ����p�����' �'�
Signature � INitness Signature
OLD METER# �`1 ��c,� �J
�''"/� now� l� G��F� �' rS d� ��-"'
OLD READING O��� ��J v �S �
NEW Mk?ER# �T���J �c� —`�
NEW READING V
ERT# � � �+ �✓� 1 �
FRIOLEY til'Y CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERMiT FEE
P�ior to cflnstructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
app{ication is made,the owner or cantractor shaN be required to obtain a permit for such connecilo�,a�d shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DeparCmerrt shal!be not�ed. it shali be unlawful to caover
any connecting line until an inspection has been made and such connectian and the work incident tfiereto has been approved by the City as a
proper and suitable connection.
402.06 REPA{RS AfYD MAINTENANCE TO CONIVECT10A1
After the initial connedio�has been made to the water service curb stop!mx or the sewer lead at the property line or a water senrice tead has
been extertded to the property{ine for conrtectioa,the applicant,owner,or occupant or user of such premises shali be liable for alt repairs
required to any water line and sewer lines necessary for connection of the premises from tfie main to the premises. If the p�operty owner
requests maintenance service or repairs be perFormed by the City,the property owner shall he charged for the costs of the mairrtenance and/or
repairs,i�cluding necessary street repairs at a rate set annually by an administrative policy. It shalt be the responsibility of the applicant,
ouorner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
roo#cutting and to mairrtain the water service curb stop box for operability and at such fieight as will ensure that it remains above#he finished
grade of the land or property. (Ref 638,1156,1191)