Meter Swap * Request Number: 15552
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Service Request
Problem Address: 210 Longfellow St Requested By: Justin
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-568-2763
SchedWed 2017-OS-30 ScheduledTime: 11:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-25
ACTION TAI�N:
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Status: In Progcess Submitter Has Been r.
Contacted
Date Completed: Completed by:
�.� i � , � �--
30- �
� City of Fridley ?J�� ' �� l ��� � v�
, Water Department � �
6431 llniversity Avenue NE ���
Fridley, MN 55432
763-572-3566
��'''�e hereby authorize the City of Fridley and/or its employees to do what is necessary to
repface 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�Lity code 402.06) I also hold the Cifiy of Fridiey 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 t am aiso required
to abtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) 1 rv � � ��
Name•�.1 � Address 1� v l��
Phone Number ��CJ r�� � l.. ^��te ��" — v�
�I Signature �" ' -�"� � Witness Signature_ � /� �'
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OL METER# � w ����
OLD READING `�C G�C,J � � ��
NEW METER# �����V��
NEW READING `/
ERT# ������f ��
FRIDLEY CITY CODE
CHA�TER 402.WAT�R,STORM WATER AND SAN(TARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566, 629,638,662,922,988, 1144, 1156, 1191)
402.5 PERIVIIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or contractor shall 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 notified. It shall be unlawful to cover
any connecting�ine until an inspection has been made and such connection and the work incident thereto has been approved by Lhe City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connection 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 appllcant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer fines 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 charged for the costs of the maintenance and/or
repairs.including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user fio 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)