Meter Swap � Request Number: 15567
Public works Division
Service Request
Problem Address: 134 Longfellow St Requested By: Mark
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nuznber: 612-600-4787
Scheduled Date: 017-0 -17 SchedWed'ISme: 10:00:00
�==��- ��` l r�
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-25
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
� Ci#y o#Fridley ��� r �/ ��� ���
" Water Department � �
6431 lJniversity Avenue NE (� 7 L��
Fridley, MN 55432
763-572-3566
��`"�e- ��''L���' ��r ` � hereby authorize the City af Fridley and/or its employees to slo what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from#he main to the premise and all interior
plumbing. (Per�Lity code 402.06) 1 also hold the City of Feidiey and/its employees harm{ess for any damages ihat may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and ser�ice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FBNAL METER READING(oid rneter) � ` •���
Name•_��{�.. �C��� Address Q � � � . �
f n
PhoneNumber v � � ��� Date�_��� •
_.or. :
Signa ' ''� Witness Signature
OLD METER# •� � ��
� ��
OLD REAi71NG�� 'yr`
NEW METER#��������
49062469
NEW READING �
ERT# 1 7 """"1111'
7��I�I"II � -
�92p�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM(WATER AND SANITARY SEWER
ADMINISTRATION
(Itef Ord Nc�113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water o#sewer line connecting xhe existing municipai system and any hause or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shafl pay a permit fee es 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 ihe work incident thereto has been approved by the City as a
proper and suitable cannection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service cur6 stop box or the sewer lead at the property line or a water service lead has
been extended to the property tine for sonnection,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#or 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 tharged for the costs of the maintenance and/vr
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user ta perform standard maintenance of the sewer service line from the premises to the main inciuding 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 af the land or property. (Ref 638,1156,1191)