Meter Swap r Request Number: 15536
Public Works Division
Service Request
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Problem Address: 260 Liberty St Requested By: Mr Vela�yues
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-239-5894
Scheduled Date: 2017-OS-26 5cheduled'15me: 07:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-05-24
ACT[ON TAI�N: �
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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�ity of Fridley
Water Department �� � �L f�j(
6431 lJniversity Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its empfoyees to do what is necessary to
replace the water meter. i understand that the prQperty owner is{iable fo�the water line from#he anain to the premise and all interior
plumbing. (Per�ity code 402.06j t also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but nnt limited to vaives,piping,watls,floors or the curb stop box and se�vice line. !n understand t am aiso required
to abtain a permit prior to any work,if necessary.
FHNAL METER READING{old meter) ��� � ��
Name• � v �f'l/� Address O ��
Phone Number �� ti v✓ � �� `'�I Date �� t�`p ��
Signature Witness Signature
OLD METER#__��J�-�.J' � l � �
OLD READINC; � �� y �V
NEW METER# �"`�� "��`-' �
NE1A!READING �
ERT# __� � ✓ � �� L�-V
FRiDLEY COTY CODE
CHAPTER 402.WATER,STORM WATER AND SANt7ARY SEWER
ADMINISTRATION
(R�f Ord No 113,464,565,566, 629,638,662,922,988, 1144, 1156,1191)
4U2.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting#he 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 far such connection,and shall pay a permit fee as provided in
Chapter 11 of this Cade. After such connection has been made,the Water and Seaver Department shall be notified. it shail be unlawful to cover
any connecting line until an inspection has been made a�d such connection and the work incident thereto has been approved 6y#he City as a
proper and suitable connecCion.
402A6 REPAIRS AND MAINTENANCE T�CONNECT{ON
After the initial connection has been roade to the water service curb stop box or the sewer lead at the property line or a water servics lead has
been extended to the property line for sonnection,the applicant,owner,or occupant or user of such premises shall be fiable for all repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. If tfie groperty owner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the maintenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative pofiry. it shali 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 incfuding debris clearing or
root cutting and to maintain the wvater service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191j