Meter Swap Request Number: 16231
Public Works Division
Service Request
Problem Address: 695 Hugo St Requested By: Mark Rose
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 763-442-4671
Scheduled Date: 2017-07-07 Scheduled'[ime: OS:00:00
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� C.�`r/!'`—
ACTTON NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-OS
ACTION TAI�N:
................��n��,.•....'._'..��............_._..�....�.`.....:..�."�-_..____�......_...__...._.._.._........_................................_.�__......____._................................___.__..........................................._..__........._......_._._....
Status: In Progress Submitter Has Been �.,
Contacted
Date Completed: Completed by:
Hours ��j _—
I�ta�f
� � � + � �
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City of Fridley ��� ` `�/�
� ' Water Department
6431 University Avenue PIE
Fridley,MN 55432
763-5T2-3566
��We hereby authorize the City of Fridley and/or iis employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water fine from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 aiso hold the City af Fridley and/iu employees harmfess for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,waits,floars or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READI G(old meter) `�� ���
Alame• � `W �-- �v� Address ��
Phoae Number���� �����p� � " �"' '�
�Signature - --�C�-���( Witness Signature
OLD METER# �Q 2-3 ��l
OLD READING �Z�D � UQ
NEW METER# �� J���`-1 U
NEW READING �
ERT#�� t I � �� �
FRID4EY CITY CODE
CHAPTER 4Q2.WATER,STORM WATER AND SANITARY SEWER
ADMINiSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4fl2.5 PfRMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or contrador shafi be required to obtain a permit for such co�nection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shail be unlawful to+cover
any connecting line until an inspection fias been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie co�nectio�.
402.06 REPAIRS AND MAINTENANCE TO COPtNECC{ON
After the initial connection has been made to the water senrice curb stop box or t6e sewer fead at the property itne or a water seroic@ lead has
been e�ctended to the property line for connection,the appiicant,owner,or ocwparrt or user of such premises sha11 be llabie 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 meintenance service or repairs be performed by the City,the p�nperty owner shalf be charged for the c�ts af the mairitenance arfdJor
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibi{ity of the appticarrt,
owner,occupant or user to perform standard mair�tenance of tfie sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wil�ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j