Meter Swap r
, Request Number: 16131
Public works Division
Service Request
_ _ _ _ _. ___ _ _. _ . ____ __ ___ ____ _ __. __.
Problem Address: 427 Longfellow St Requested By: Mazlene
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-205-9562
Scheduled Date: 2017-06-27 Schedul�d'ITime: 09:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-26
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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City of Fridley a a
Water Department SU� 4���
' 6431 University Avenue NE
Fridley,MN 55432
7(i3-572-3566
��`^�e hereby authorize the City of Fridley andjor its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable fo�the water line trom the main to the premise and all interior
plumbing. (Per City code 402.06) 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,walis,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.
EINAL METER READING{old meterj �C� r t� �,�--�v
Name: _I"w`�' ��/'h"� Address ��, ���K-%�'' ��
PhonelYumber�-�•���:S:,;J`�� ��Z Date ����'y (
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�Signature /!/ �C`o�� �-��--�" Witness Signature
OLD METER# � � �� �����
OLD READING �� � � � �
NEW METER# � 1 �'--�-'�� `�/
NEW READING �J
ERT# ����� � - 1 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, I191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any house o�building for which the
application is made,the owner or contrador shafi 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 noti�ed. It shall be unlawfu�to cover
any connecting line unti!an inspedion 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 connedion 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 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 maintenante and/or
repairs,including�ecessary 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 finished
grade of the land or property. (Ref 638,1156,1191)