Meter Swap ,
� Request Number: 15582
Public Works Division "
Service Request
Problem Address: 309 Logan Pkwy Requested By: Agnes Shaw
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-6299
Scheduled Date: 20 t 7-OS-31 cheduled'ISme: 11:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-26
ACTION TAI�N: �
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: �r��_/� Completed by:
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< �City of Fridley l ( � � �� `� ���� d �
� Water Qepartrnent
6431 lJniversity Avenue NE J/�� � r 2� ,
Fridley,MN 55432 v �-t
763-572-3566
1/we hereby authorize the City of Fridley and/or its emptoyees to do what is necessary to
replace the water meter. t understand that the property owner is liable for the water line from the rriain to Yhe premise and all iMerior
plumbing. (Per�ity code aOZ.06) i also hofd 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,walis,floors or the curb stop box and service line. in understand!am also required
to obtain a permit prior to any work,if necessary.
FINA!METER READIIYG{old meter) ��c.�'�fJ�� ��
Name: �'�`�) 5�1�V Address _ �(J I l,�v-3 G--V�- ���`f
Phone Number "�� �' Ul p�.�� at _ �)" � i'' 1�
Signature ` �yGG t�tness Signature �_
OLD METER# � ��� C� ���
OLD READING - ` �� ���C-�
NEW METER# � l�o� � I �l(�'
NEW READINC; lJ
ER�# �7a�� 7a � I
FR{DLEY�ITY CODE
CHAPTER 402.WATER,STOR9Uti WATER AND SANiTARY SEWER
ADMINISTRATION
(�ef Ord Nm 113,464,565,566,629,638,662,922,988, 1144, 1156,1191j
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 contrador shall be required to obtain a permit for such connectivn,and shaN 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 until an inspection has been made and such connection and the wor[c incident thereto has been approved by the City as a
proper and suitable connection.
402.06 liEPAIRS AMD MAINTENANCE TO CONNECT40N
After the initial connectiort has been made to the water service cur6 stop boK or the sewer lead at the property line or a water service lead has
been txtended to the property line for connection,the applicant,owner,or occupant o�user of such premises shall be 4iable 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 praperty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andJa�
repairs,includ+ng 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 mainienance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the rniater service curb stop box for aperability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j