Meter Swap . Request Number: 15671
Pubfic works Division
Service Request
_ _ _ __ _ __
Problem Address: 300 Longfellow St Requested By: Mike Christenson
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 763-786-0617
Scheduled Date: 2017- 6-OS � Schednled Time: 01:30:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-31
ACTION TAI�N:
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Status: In Progress Submitter Has Been �..
Contacted
Date Completed: Completed by:
�f ��(� � ��
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City of Frddley I � ��^�� (
-. Water Depao-teraen� �� �'— � �/
643�l�niversity Avenue NE ��� ��Z�
FrQdiey, MN 55432 '-
7�3-572-3565
i/we hereby authorize the Crty of Fridtey end/or its employees to do what is necessary to
replace the water meter. 1 undersiand that the�ro�aerty owner is liable for the�rater line#rom the rr�aire to the premise artd alf irrterior
plumbing. (Per�ity code 402.06) !elso hold the City of Fridley and/its employees harmless for any damages that�rnay occur while doing this
operatiom. This to include,but not limited to valves,piping,walls,floors or the curb stop box and seroice line. in understand t am also require
#o obtain a permit�rior#o any work,if e�ecessary.
FiNAL METER READIfVG(oid meterj � � 1 � (/�
Name: _�� 't"�-' C�r�,`-�'gP�,C,,,��, Address �6� �� cJ`''�
Phone 9Vurnber l�J�`' � V Date � v J � F
Signatu Witness Signature _ �
OLD METER#_ t b I�q ��
OLD READtNG (,�� �� ��
NE1A/METER# ���I����j
NE1A/ �EADING �
E�� �I 2�� ��`L�
FRIDLEY CITY CODE
CWA�TEIB 402.WA�'ER,51'�RIVIONATER AND SANlTARY SEWER
ADMtN65TRAT(ON
��t�f Ors!IVo 113y 464,,65,566,629,538,662,922,988, 1144a 1156,1191 j
402,5 PERMIT FEE
Prior to�onstructing ar repair of any water of sewer line cannecting the existing municipal system and any house ar building for which the
application is made,the owrrter or cor►tractor shall be required to obtain a permit for such connection,and shaid pay a permit fiee as provided in
Chapter 11 of this�ode. Afiter 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 work incident thereto has been approved by�he City as a
�proper and suitable co�nection.
402.06 REPAIRS ANt�MpINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer iead at the property line or a water service lead has
been extended zo the property line far conrtection,the appiicant,owner,or occupant or user of such premises shalt be fia�ie for alt repairs
required to any water line and sewer lines necessary for connection of the premises from the main ta the premises. If the property owner
requests maintenance service or repairs be performed by the City,the properky owner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annuatly by an administrative policy. It si�al(be the responsibi(ity of the applicant,
owner,occupant or user to perform standard rr►air►tenance of the sewer service line from the premises to the main including Jebris clearing or
root cutting and Lo maintain the rNater service curb stop box for operability and at such height as will ensure that it remains above the finished
grade afi tf�e fand or property. (Ref 638.1155,1191j