Meter Swap ' Request Number: 15603
Public Works Division
Service Request
Problem Address: 278 Liberty St Requested By: Stan Cary
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 763-784-2555
Scheduled Date: 2017-OS-31 Schedluled'Iime: 08:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-26
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been r
Contacted
Date Completed: Completed by:
S= 3I -- I-� % w�
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�City of Fridley � �D ��` J� �� �
� Water Departrnent
* 6431 University Avenue NE �� � ����
Fridley, MN 55432
763-572-3566
i/we hereby authorize the Cifij of fridiey and/or its emptoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and aN interior
piumbing. (Per�ity 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,hut not limited to val�es,piping,walis,floors or the curb stop boz and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meterJ ��� ��o
Name: Lt�� �}�{u Address _ ��� ✓1�l�' � J�
Phone!Yu r���� '_ ���.iDate � .J� —/ !
XSig__n�ature Witness Signature
OlD METER# `��� � �� �
OLD READING�,�� ���
NEW METER# '"�t� �� � ���
NEW READING �
E�T# � Z���O'��
FRIDLEY CITY CODE
CHA�TER 402.WATER,5TORM WATER AND SANITARY SEWER
ADMtNISTRATION
(Ref Ord No 113,464,565, 5fi6,629,638,662,922,988, 1144, 1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer iine cannecting the existing municipat system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a germit for such cannection,and shall pay a permit fee as provided in
Chapter 11 of this�ode. After such connection has been made,the Water and Sewer Departme�t shall be notified. It shall be unlaarful 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 2xtended to the property line for connection,the applicant,owner,or occupant ar user of such premises shalt he liable for atl 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 1oy the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,inctuding necessary street repairs at a rate set annually by an administrative policy. !t shatl be the responsibitity of#he applitant,
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 ta maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade af the land or property. (Ref 538,1156,1191)