Meter Swap �
Request Number: 16141
� Public Works Division
Service Request
,
Problem Address: 314 Hugo St Requested By: Deborah Hazrer
Departmeut: WA1Elt A�ddreas: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-246-0114
Scheduled Date: 201�-06-27 Schednied 1lme: O1:OU:00
� �� '
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-26
ACIION TAI�N:
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Status: In Progress Snbmitter Has Been r,
Contacted
Date Completed: Compieted by:
C��2��-��"1 � �c�—
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3�g'�o��o �o�-
City of Fridley ��� ,/�^�
, Water Department �� p�
,
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. !understand that the property owner is liable for the water line from the main to the premise and a!1 interior
plumbing. (Per City code 402.06) 1 aiso hold the C'ity af Fridley and/its empioyees harmless for any damages that may occur while doing this
operation. This to include,but not limified to valves,piping,walis,floors 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 READING(old meter) lJ�� � v I Q
Name:_����� �W � Address J�`l �� �
Phone Number 1C.J��� �lp^ ��'�;�ate � ����� 1
�j Sig�nature Witness Signature,_�,
OLD METER# `� J�� ��
OLD READING v 1�����
NEW METER# �1-1 li�����
NEW READING �
ERT# � �i��� � + �
FRIDLEY CI7Y 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 PERMtT FEE
Prior to constructing or repair of any water of sewer line connecting the existing munlcipal system and any house or buiidtng far which�e
appiication is made,the owner or contrador shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to cover
any connecting ti�e untit an inspection has been made and such connection and the work inciderK thereto has been appraved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initia!connection has been made to the water service curb stop box ar the sewer lead at the property line or a water seroice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises, ff the property owner
requests maintenance service or repairs be perfvrmed by the City,the property owner shall be charged for the c�ts of the maiMena�ce and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shail be the responsibility of the appiicant,
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 service curb stop box for operability and at such height as wili ensure that it remains above the�nished
�rade of the land or property. (Ref 638,1156,1191j