Meter Swap ,
Request Number: 1553'7
� Public works Division
Service Request
Problem Address: 222 Liberty St Requested By: Ed
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-780-2290
Scheduled Date: 2017-06-01 Scheduled Time: 09:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-24
ACTION TAI�N: ��
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Status: In Progress Submitter Has Been r
Contacted
_ Date Completed: Completed by:
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, • City of Fridley � I O �� ' �/_�0 �p��
Water Departrv�ent �� V
b431 lJniversity Avenue NE 0 � f'���
Fridley,MN 5543Z s y-
763-572-3566
i/we hereby authorize the City 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 anain to the premise and all iriterior
piumbing. (Per City code 402.a6j I also hold the Cit;�of Fridfey and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,watls,fioors or the curb stop box and service line. In understand l am aiso required
to abtain e permit prior to any work,if necessary.
FINAL METER READlA[G(old meterj �� ���`��
Name: Address v� r � 1
Phone Number `� NV`- � Date � � ' �,�
xSignature Witness Signature
OLD METER# �V�S 2���
OLD READING_ � 1 ����� � S�,G' Vl/'✓�� � � �T''e/� 'LJ � .
NEW METER# " 1-1�� �� ( `V
NEW READlNG LJ
E�tT# �� ��Z- I Z�"I
�R{DLEY CITY CODE
CHAPTER 402.WATER,STORNI WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Nc�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 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 such connection,a�d shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shalf be notified. It shall be unlaarful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved 6y ihe 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 Iead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be liable for all repai�s
required to any water line and sewer lines necessary#or 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 owner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the uvater service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade af the land or property. (Ref 638,1156,1191f