Meter Swap , Request Number: 15465
� Pubtic works Division
Service Request
___ _ _ _ _
Problem Address: 159 Logan Pkwy Requested By: Jeff Moore
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-498-9535
Scheduled Dat • 2017 OS-23 � �ed�me: 08:30:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 20U-OS-19
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
s� �� - I`� �� c�(��
City of Fridley 3 l( " 5�'f v-1 � ��o�—
` Water Departrnent
� 6431 University Avenue NE
Fridley,MN 55432 �� ���
763-572-3566 ( �'/
'-c 2s
��"Ve he�eby authorize the City of Pridiey and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property o+vner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06j I also hold the City of Fridiey 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 I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � C�I � ✓�
Name: �E`� �'��C�^'e Address 1� 1 � C�v� 1�'�--t,�
Phone lVumber �� �" �1 (tJ -�53� Date J �� �� '- ' �
Signature Witness Signature ~
OLD METER# �C_y� ���✓ll��
OLD READING � � I �° ✓�
NEW METER# ` 1 � �1 � 1 � C� 'r�� � �� ���
U C�,{S� vv��- c�i ;' h�fi � n c l t e d�e
N E W R E A D I N G 2�y Q � S -�, .
ERT# _ �� �� J � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(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 shail be required to obtain a permit for such connection,and shaN pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any conneding line until 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 connectiort 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 e�ctended to the property line for connection,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 for 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 poliry. 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 water service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)