Meter Swap Request Number: 15523
Public Works Division
Service Request
Problem Address: 181 Liberty St Requested By: Jeff
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-7729
Scheduled Date: 2017-OS-25 Scheduled Time: 02:00:00
� i"'�'
ACTION NEEDED:
' Created by: Beth Kondrick Date Created: 2017-OS-23
ACT[ON TAI�N:
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Status: In Progress Submitter Has Been (...
Contacted
Date Completed: � �/ _ �� Completed by: � �
� J � �
, . City of Fridley �J j�,, L�/� ��� �O )
Water Department l � �< <
6431 llniversity Avenue NE ��� ����
Fridley, MN 55432
763-572-3566
1/we hereby authorize the City of Fridtey and/or its emptoyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from#he main to the gremise and all irrterior
plumbing. (Per City code 402.06) 1 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,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �� � � �
Name• �"'�`� Address � 1 � t✓'��� �-�- .
Phone lVumber ` �� � / �lt/� ��� Date � �� �� � � '�
�Signature '� .��� YL->-�K. ,� Witness Signature
OLD METER# _ � ���Q ��o�-
OLD READING � �� � � ���
NEW METER# _ 1 I�� � ��
NEW READING �''�
El�T#-- ���� J � ` �
FRIDLEY CITY CODE
CNAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(lief Orsl No 113,464,565,5Fi6, 629,638,662,922,988, 1144, 1156,1191)
402.5 PERfll11T FEE
Prior to constructing or repair of any water of sewer line connecting#he existing municipal system and any house or bui(ding for which the
application is made,the owner or contrador shall be required to obtain a permit for such connedion,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 unti!an inspection has been made and such tonnection and the worfc 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 rnade to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for sonnection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
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,including necessary street repairs at a rate set annually by an administrative policy. It shall be the respo�sibility of the appficant,
owner,occupant or user to perform standard maintenance of the sewer service line f�om the premises to the main including debris clearing or
root cutting and xo 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 638,1156,1191)