Meter Swap ,
� Request Number: 16156
Public Works Division
Service Request
Problem Address: 381 Hugo St Requested By: Mike Coyer
Department: WA'IER Addreas: , No address grovided
r� ProblemlIssue: INSTALL AMR METER Phone Number: 612-919-5017
Scheduled Da : 2017-06-29 .7,� Schednled 19sne: � 01:30:00
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s
ACTION NEEDED:
Created by: Wendy Hiatt Date Crested: 2017-06-2�
ACTION TAKEN:' • �� �
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Status: In Progress Submitter Has Been r:,
Contacted
Date Completed: Compteted by:
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� City o#Fridley 5 (�� �j�,�g
, Water Department t�
6431 UniversityAvenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City af Fridtey and/or its empioyees to do what is�ecessary to
replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and ali interior
plumbing. (Per C'rty code 402.06} 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand i am also required
to abtain a permit prior to any work,Ff necessary.
FINAL METER READING(old meter) �� �� ��O
Name: �Y� vv`�L�C/` Address ��� � �
Phone Number�J {� �i� ` � {` ��� p� �Q ^ ✓�— �
Si nature �� Witness Signature
OLD MfTER# � � `� � `U� ��
OLD READING �v, r `' ���
NEW METER#_�� L� � ��
NEW READING �
ERT# � Z�Z� ��- I
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to�constructing or repair of arry water oE sewer{ine connecting the existing municipai system and any house or bufiding for which the
application is made,the awner or corrtractor shall be required to obtain a permit for such connection,and shafl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shalt be notified. it shall be unlawfut to cover
any connecting line until an i�spection has been made and such connection and the work incident thereto has been approved by the Crty as a
proper and suitahle connection.
402.06 REPAIRS AND MAIMTEAIA{YCE TO CONWECTION
After the initial co�nection has been made to the water service curb stop box or the sewer lead at the property tine ar a wate�senric�tead has
been e�ctended to the property line for connection,the applicarrt,owner,or occupar�t or user of such premises shall be IiaWe for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests mair�tenance service or repairs be perFvrmed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,inciudi�g necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance 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 wili ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)