Meter Swap t
c Request Number: 16024
Public works Division
Service Request
Problem Address: 528 Kimbatl St Requested By: Kyle
Department: WA1ER Address: No address p�ovi�d
Problem/Iasue: INSTALL AMR METER Phone Number: 763-639-9452 612-400-5555
Schednled t • 2017- 6-21 � S i Schidi�(./'ITime: 01:00:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Crexted: 2017-06-15
ACIION TAI�N:
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Status: In Progress Snbmitter Has Been r,
Contacted
Date Completed: Completed by:
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� �City of Fridley � 0 �� I^„��
Water Department � `'("-T87—
� 6431 University Avenue NE �� �j �
Fridley, MN 55432 a
763-572-3566
��`"�e hereby authorize the Crty of Fridtey and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all irrterior
piumbing. (Per City code 402.06) I aiso hold the City of Fridley andrts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in understand i am also required
to abtain a permit prior to any worlc,if necessary.
FINAL METER READING(old meter) �C��� +�-�
Name: � Address _��� Y���GV'� �
Phone Number ��� '� �e 1C�"'��,���
y/ S'g�nat�re J Witness Signature
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OLD METER# �� TZ-� �
OLD READING ��✓��'��✓
NEW METER# ` 1�Z1�1 ��
NEW READING�
ERT# �2�����
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIOM
(Ref Ord No 113,464,565,566,629,638,662,922,988,i144,1156,i191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buiiding for whi�h the
application is made,the owner ar contractor shali be required to obtain a permit for such connection,and shall pay a permk fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be notified. It shalt be unlawful to cover
any connecting line unti!an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAiNTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the app(icant,owner,or occupant ar user of such premises shall be liabie for all repairs
required to any water line and sewer fines necessary for conneetion of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. it shall be the respo�sibility of the applicarrt,
owner,occupant or user to perEorm standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and#o maintein the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)