Meter Swap Request Number: 15542
Public works Division
Service Request
Problem Address: 447 Longfellow St Requested By: Roger Roloff
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 612-310-8638
Schedul ed Date: 2017-OS- hedul ed'I5 me: 09:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-24
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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, Ci#y o#Fridley �J� -- � L�� l� ' � 2
Water Department
6431 University Avenue NE C� _y� /��� r
Fridley,MN 55432 �� ,T `�' 6
7fi3-572-3566
��We hereby authorize the�ty of Fridley and/or its employees to do what is necessary to
replace the water meter. I 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) I also hold the City of Fridfey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,ftoors orthe wrb stop box and service line. In understand 1 am also required
to abtain a permit prio�to any work,if�ecessary.
FBNAL METER READING(oid meterJ � � �� v�O
Name: �.� ��� Address ` �'�� � �
Phone Number__��� �j,�'^' ��J� Date `J �o' 4�
,
�;Signature Witness Signature
OLD METER# _ ��j6 7 b �� �j
OLD READING �� � �,, sJCJ
NEW METER# �� �� ���Z
NEW READING �
ERT# ���� �� ��
FRtDLEY CITY CODE
CNAPTER 402.WATER,STOR{VI WATER AND SANITARY SEWER
ADMINISTRATION
(�tef Ord No 113,464,565, 566,629,638,662,922,988, 1144,1156,i191)
402.5 PERMIT FEE
Prior to constructing or repair ofi any water of sewer line conrtecting the exist+ng municipa{system and any house or building for which the
application is made,the owner or contractor shall be required to abtain a permit far such connection,and shall pay a permit fee as provided in
Chapter 11 of Yhis Code. After such connection has been made,the Water and Sewer Department shall be notified. lt shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the woric incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TD CONNECTION
After the initial connection�as been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been 2xtended to the property line for connection,the applicant,owner,or occupaot or user of such premises shall be liable far 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 maintenance and/or
repairs,including necessa street repairs at a rate set annually by an administrative policy. It sfiaf{be tfie responsibility of the applicant,
owner,occupant or user to erform sta�dard maintenance of the sewer service line from the pramises to the main including debris clearing or
root cutting and to maintai the water service curb stop box for operability and at such height as will ensure tfiat it remains above the finished
grade af the land or propert (Ref 638,1156,1191)