Meter Swap ,
` Request Number: 16338
Public works Division
Service Request
Problem Address: 533 Janesville St Requested By: John
Department: WA1ER Addresst No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-438=3549
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Scheduled Date: 2017-07- 9 � Schednled 1ime: 07:00:00
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ACTION NEEDED:
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Created by: Beth Kondrick D�te Created: 2017-07-14
ACTION TAI�N:
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Statos: In Progress Sabmitter Has Been r
Contacted
Date Completed: , � � q,�, f� Completed by: ��� -
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, c��y o�F�atey
' Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��°A�e hereby authorize the CJty of Fridley and/or its empioyees to do what is necessary to
replace the avater meter. 1 understand that the property owner is liable for the water line from the main to the premise and all inte�ior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andrts employees harmless for any damages that may a;cur while doing this
operation. This to include,but oot limited to valves,piping,walls,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any wark,if necessary.
FINAL METER READING(old meter} D� • � ��O
Name: ��r`h Address__ � J� �an,�5��;Ll�
PhoneNu 1��� l��" 3�� Date !`' � t ` ��
� Signature •-" r Witness Signature ��
OLD METER# -1 ✓� v � �� �
OLD READING � ��� ` � �
NEW METER# t �� J � I p��
NEW READING �
ERT# �� t � �� ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARYSEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry ha,�se or building for which the
application is made,the owner or carrtractor shaH be required to obtain a permit for such connection,and shall 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 unlawfui 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�ty as a
proper and suitable connection.
' 402.06 REPAIRS AIYD MAINTEPIANCE TO CORINECTtON
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the property line rn a water senrice{ead has
been extended to the property line for connection,the appiicant,oarner,or occuparit or user of such premises shall be fiable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tF the property owner
requests maintenance service or repairs be performed by fihe Gty,the property owner shall be charged for the costs of the maim;enance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall 6e the responsibility of the appiicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land ar property. (Ref 638,1156,1191)