Meter Swap ` Request Number: 15357
Public Works Division
Service Request
Problem Address: 101 Logan Pkwy Requested By: Ms Monette
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-8334
Scheduled t, • 2017-OS-17 ,,,,.� Scheduled 1ime: OS:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-15
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: �� y — ` Completed by: ���
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City of Fridley
� Water Departrnent � �
6431 University Avenue NE �� � �
Fridley,MN 55432
763-572-3566
�1We fiereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. f 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) 1 also hold tfie 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,ftoors or the curb stop box and service line. in understand I am also required
to obtain a permit prior to any work,if netessary.
FINAL METER READING(old meter) ������ � "
Name: ��� ��h E�� Address � " � L��CI�►�1 I ���/" i
Phone Number �� �� l:! �L� Date 5 — ' ( V � �
Signature Witness Signature
OLD METER# � ✓ / ��`� ��
OLD READING ���� r � '��
NEW METER# � 1�tL>� �� �
NEW READING �
ERT# � l �j� 1 � 1� '
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, 1156,1191j
402.5 PERMIT FEE
Prior to construding 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 shatl be required to obtain a permit for such connection,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 uniawful to cover
any connecting line until an inspection has been made and such connection and the work intident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOfV
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 e�ctended to the property line for connection,the applitant,owner,or occupant or user of such premises shal!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 shal!be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative potiry. It shafl 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 finished
grade of the fand or property. (Refi 638,1156,1191)