Meter Swap .
• R quest umber: 15279
Public works Division
Service Request
Problem Address: 601 lronton St Requested By: Tom Budnick
Departmeat: WATER Address: No a�ess provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 786-3015
ScLedule�Date• 2017-OS-12 Scheduled Tlme: 01:00:00
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A+CITON NEEDED:
Crented by: Wend�Hiatt Date Created: 2U17-OS-11
ACTTON TAi�N:
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Stxtus: In Progress Sabmitter Hae Been r,
Co�acted
Dxte Completdd: Compieted by:
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, • City of Fridley �� ' �'l� � '� 1
Water Departrnent �
6431 University Avenue NE C�tJ t� �V�
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its empfoyees to do what is necessary to
repiace the water meter. I understand that the property owner is liabie for the water line from the main to the premise and all i�erior
plumbing. (Per C'rty code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not liss►ited to va{ves,piping,wafis,floors or the wrb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(otd meter) �
Name• Address 1��L � 1��N ��
Phone Nu r p ��-�p�--��
Signature Witness Signature �
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OLD ER# �J,JITI ��JV (/` ��� '
OLD READING �'I ���c ,��
NEW METER# ���,d'�e�ba -�i o r �Q `
NEW READING �
ERT# � � 1��,���Q�CJ
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,4fi4,S65,566,629,538,662,922,988,1144,1156,1191)
402.5 PERMI7'FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shafl be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer DepartmeM shaN be notified. ft shalf be uniawfui to�ver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connedion.
40Z.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service kad has
been e�ctended to the property line for connedion,the appiicant,owner,or occuparit or user of such premises shall be Ilable for all repairs
required to any watec line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests mairitenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicaM,
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 service wrb stop box for operabi{ity and at such height as wifl ensure that it remains above the finished
grede ofi the land or property. (Ref 638,1156,1191)
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