Meter Swap .
� Request Number: 15349
Public Works Division
Service Request
Problem Address: 235 Logan Pkwy Requested By: Sandi Nelsen
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 763-218-2231
Scheduled Date: 2017-OS-16 Scheduled'Iime: 09:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-15
ACT[ON TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: �"� '�„�j� Completed by: �GS
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City of Fridley /�, �
� Water Department � ' ' -� �� � �v D � �
6431 University Avenue NE /�
Fridiey, MN 55432 /'� � �3 ' V
763-572-3566
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VN1e hereby authorize the City of Pridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. {Per City code�02.06) 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 I am also required
to obtain a permit prior to any work,if necessary.
ff1VAL METER READING(old meter)
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Name: �C�"vl��, ��'�'��j�'t"� Address ��� L-�Xil�v� ���^�t�.
Phone Number ��� � ����V' ���� Date �" l� ' ��
Signature Witness Signature �
OLD METER# �'"� � ��� �� C.�
OLD READING �C�� �Ct � �
NEWMETER# ����d�- I�� I
NEW READING O
ERT# � I �� ����� l�"
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATfON
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
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
app{ication is made,the owner or contractor shail be required to obtain a permit for such connection,and shafl 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 a�d 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 connedion has been made to the water service curb stop box or the sewer lead at the property fine or a water service lead has
been extended to tfie property line for connection,the applicant,owner,or occupant or user of such premises sha{I be{iable for al{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 administ�ative policy. It shall be the responsibitity of the appiicant,
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 operabiliCy and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,17,91�