Meter Swap Request Number: 15162
Public works Division
Service Request
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Problem Address: 54 Locke Lake Rd Requested By: Blaine Jones
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-1180 or 612-801-8465
Scheduled e: 2017-OS-06 � Scheduled Time: 01:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-OS
ACT[ON TAKEN:
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Status: In Progress Submitter Has Been �..
Contacted
Date Completed: Completed by:
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City of Fridley � n �.-�`�
Water Department ��
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
UWe hereby authorize the City 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 Fridiey andJits 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 I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) _ `� ��j O��
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Name: _ � �XI`�b"v ����'� Address_�� �,,(SZ.�� ��'�`"� F-G
Phone Number �,Cr� )��.� t�� Date "
Signaiure Witness Signature
OLD METER# /,y �� �O ! �
OLD READING ��" �� ��d
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NEW METER#
NEW READING 48907136
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMfNISTRATION
(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 connecting 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 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 untit 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 COMNECTION
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 extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for alt 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 perPormed 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 responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewe�service line from the premises to the main incfuding debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)