Meter Swap Request Number: 15526
Public works Division
Service Request
Problem Address: 467 Longfellow St Requested By: Eddie Lee
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-207-5638
Scheduled D te: 2017-OS-31 Scheduled Time: 10:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-23
ACTION TAI�N:
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Status• In Progress Submitter Has Been r
' Contacted
Date Completed: �'� I_ `� Completed by:�1 �
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. 3 �l - 5 � � � �� ^��
,
City of Fridley
Water Department �0 �
6431 Llniversity Avenue NE (��� 3
Fridley, MN 55432
763-572-3566
�0'"�e hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and alt interior
plumbing. (Per�Lity code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This Yo inciude,but not limited to valves,piping,wails,floors or the curb stop box and service line. In understand!em also required
to obtain a permit prior to any work,if�ecessary.
FINAL METER READING(old meter) ` ` ` ��,/�
Name: �l`.l`,�� �� Address_ ���� 1..� �,����3£-V ��-
Phone Number �� — � ! `J c�,1�Date ✓ r � I i � �
�\,ignature Witness Signature �
OLD METER#_� ��� / �pZ.
OLD READING ` ����J�
NEW METER#_ `���� t �,�
NEil1/ READING �
ERT#_ ` ��� / � ( �
FRIDLEY CITY CODE
CHA(�TER 402.WATER,STORN!WATER AND SANITARY SEWER
ADMINISTRATION
(ttef Ord No 113,464,565,566,624,638,662,922,988,i144, 1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer iine conneding the existing municipal system and any house or building 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 untawful to cover
any connecting line until an inspecCion 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 MAlNTENANCE TO CORINECTI�IV
After the initial connection�as 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 line for sonnection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water tine and sewer lines necessary#or connection of the premises firom 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,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 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 af the land or property. (Ref 638,1156,1191)