Meter Swap � Request Number: 15489
Public Works Division
Service Request
Problem Addresa: 6917 Hickory Dr Requested By: Eric
Department: WATER Address: No a�ess provi�d
ProblemJIssue: INSTALL AMR METER Phone Number: 612-298-7706
Scheduled Date: 2017- 26 Sc6ednicd 1ime: 07:30:00
� �" `7�d
ACTION NEEDED:
Crented by: Wendy Hiatt Date Created: 2017-OS-22
ACIION TAI�N:
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..............�.......__�.._....._._.._............._...._._..._._. ....._...._.._..�______._____.�___.__.__......_....__...___. __..._______.__._
Status: In Progress �bmitter Has Been r.
Contacted
Date Compteted: Completed by:
Hours � �
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' City of Fridley
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r Water Departmer�t s� �(�D
6431 llniversity Avenue NE
Fricfley,MN 55432
763-572-3566
�f`iYe hereby authorize the C'ity af Fridiey and/or its employees to do what is necessary to
replace the water meter. t understand that the property ow�er is IiaWe for the water line from the main to the premise and all iMerio�
plumbing. (Per City code 4Q2.a6) !also hold the C'ety of Fridiey and/its employees harmtess for any damages that snay occus while doirig this
operation. This to incfude,but not timited to vatves,pipin�wa(Is,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to arry work,if necessary.
FINA!METER READING(oid meter) �` �� ��
Name:� ` G dress__ � �' l '�.� p�
Phone�tumber � '�'�-1 ^��� ��p'��, 1
Signature Witness 5ignature
OLDMETER# `` ' �'��� � �
OLD READiNG �� �� �1.�V
NEW M�'i'ER# 'l 1 (.-� 1� J J � �,,,
NEW READING O
ERT# � Z 7� f L�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
{Ref Ord Na 113,464,565,566,629,638,662,922,9&8,1144,115!6,1191)
402.5 PEEtMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and any house ar bu8ding for which the
apptication is made,the owner or contractor shall be required to obtain a permit for such c4nnection,and shaN pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shalf be notified. It shail be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has heen approved by the City as a
proper and suitable connection.
402.06 REPAIRS APtQ MAtNTEP1ANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been eutended to the property line for connection,the applicarit,owner,or occupant ar user of wch premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises fcom the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenan�and/or
repairs.including�ecessary street repairs at a rate set annually by an administrative policy. It shail be the responsibility of the appliqr�t,
owner,occuparrt or user to perForm standard mairrtenance of the sewer senrice line from the premises to the main including debris clearing or
root cutting and�o maintain the water service curb stap box for operability and at such height as wili ensure ihat it remains above the fsnished
grade of the land or property. {Ref 638,1156,1191) e