Meter Swap ,
t Request Number: 16102
Public Works Division
Service Request
Problem Address: 584 Janesville St Requested By: Cindy Russe
Department: WA1ER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-780-4613
Scheduled Date: 2017-06-23 � Scheduled'llme: OS:00:00
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ACIYON NEEDED:
Created by: Beth Kondrick Date Created: 2017-06-22
ACTION'�II�N:
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5ubmitter Has Be�t�, r
Status: In Progress Contacted ` *
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Date Completed: � .z3 _ �� Completed by:
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► City of Fridley
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Water Department S�� (�7�
a 6431 University Avenue NE
Fridley,MN 55432
_ 763-572-3566
1/we hereby authorize the Cty of Pridley and/or its empioyees to do what is neoessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all ir�terior
plumbing. (Per City code 402.06) i aiso hold the C'rty of Fridley andrts employees harmless for arry damages that may ocwr while doing this
operation. This to include,but not limited to valves,pipin�walis,floors or the curb stop 6ox and service line. in understand I am aiso reQuired
to abtain a permit prior to any work,if necessary.
FINAL METER READIN6(oid meter) � � ���
Name: �?1'� c, � Address � v 1 ��1C�iV����1� S�•
Phone Nu e [�l �� G '� llQ�� D � -' Z�j '� l�
c
"�Signature / Witness Signature �1
✓� '
OLD METER# I V `� ` � t� " �
OLD READING _ �DD ����0
NEW METER# � � 1� ! � � I
NEW READING �
E�# � � 81 �2y�
FRtDLEY CITY CODE
CHAPTER 402.WA�ER,STORM WATER APID SAPIITARY SEWER
. ADMINISTRA7tON
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
P�ior to constructing o�repair of arry water of sewer iine sonnecting the existing municipal system and any house or buitding for whiCh ihe
appiication is made,the owner ar contractor shail be required to obtain a permit for such connection,and shall pay a permi#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 tine until an inspection has been made and such connection and the work incident thereto has been approved by the C�ty as a
proper and suitable connection.
�
402.06 REPAIRS AND MAINTENANCE TO CONNECTION �
After the initial connection has been made to the water seroice curb stop boz or the sewer lead at the property line or a water secvice lead has
been extended to the property line for connection,the applicant,owner,or occupant ar user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for�nnection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the CFty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarit,
owner,occupant or user to perForm sta�dard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrtain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)