Meter Swap . � Request Number: 16031
Public Works Division
Service Request
Problem Address: 591 Lafayette St Requested By: Frederick Haugh
Department: WA'IER Address: No address provided
^ Problem/Issue: INSTALL AMR METER Phone Number: 763-291-1825
Scheduled Date: Schednled 1ime: 09:00:00
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ACITON NEEDED:
Created by: Wendy Hiatt Drte Crested: 2017-06-16
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ACTION TAI�N:
_ ���_�..�..............1�...1�--��-- --..__.________.__._.______.. __..�._.___
Status; In Progress Submitter Has Been r,
Co�acted
Date Coa�pleted: Completed by:
Hours � �
�- �� - i-, � �
3l0 - S/3��� -� �
. City of Fridley
' Water Departrnent
6431 University Avenue NE
Fridley,MPI 55432
763-572-3566
��We hereby autho�ize the Crty of Fridley 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 interior
plumbing. (Per City code 402.06) I also hold the City of Fridley andrts empioyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) `-� ,—`���O
Name: ` � � Address�� 1 I ��`�1 t �.. �`
Phone Number P ��C �,� �C!� D te ^ � v
\
Signature + �tness Signature
OLD METER#__�O� 1 1, �1'1d�.J
OLD READING O ����V
NEW METER#� l��
IYEW READINGQ
ERT# � ��� � ���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER APID SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line conneding the existing municipai system and any house or buiiding for which the
application is made,the owner or contractor shaii be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department sha116e notified. It shatl be anlawfal to co�r
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Cty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connection has been made to the water service wrb stop box or the sewer lead at the property line or a water senrice lead has
been emended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabte for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. Ff the property owner
requests maintenance service or repairs be perFormed by the C'ity,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative polity. It shaii be the responsibility af the applica�rt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operabitity and at such height as will ensure that it rerrtains above the Fnished
grade of the land or property. (Ref 638,1156,1191)