Meter Swap �
Request Number: 16237
Public works Division
Service Request
Problem Address: 621 Lafayette St Requested By: Dwayne
Department: WA'IER Address: 621 Lafayette St
Problem/Issue: INSTALL AMR METER Phone Number: 612-239-8075
Scheduled Date: 2017-07-10 Scheduled 13me: 11:30:00
/ �
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-OS
AC ON TAI�N: �
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by:
Hours � �
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`7 - �0 - r �
City of Fridley �/� � -�"','�3,Ljd'Dy
' Water Department �
6431 University Avenue NE �� l��
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. l�nderstand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,waiis,floors or the wrb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METE READING(old meter] O� ��
Name• �� � Address � � � '�.,
Phone Number �'� �� �� �"' �p�e � `� lo �' � /
�IS�g��e Witness Signature
OLDMETER# ��� 1 1� `. ..-.---
OLD READING Q� �� Y�
NEW METER# � {����U lo "
NEW READING Q
ERT# � L�"1 ` $���
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FRlDLEY CI?Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA7'ION
(Ref Ord Plo 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructiag 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 shall be required to obtain a permit for wch 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 Department shall be notified. It shall be unlawful to cover
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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection 4�as been made to the water service curb stop box or the sewer lead at the property Iine or a water serme lead has
been extended to the property line for connedion,the applicant,owner,or occuparrt 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. if the property owner
requests maintenance service or repairs be performed by the City,the property ow�er shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the respo�sibility of the applicant,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will e�sure that it remains above the finished
�rade of the land or property. (Ref 638,1156,3191j