Meter Swap , � Request Number: 15518
Public works Division
Service Request
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Problem Address: 455 Longfellow St Requested By: Taylor
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 1-281-467-0288
Scheduled at • 2017-OS-24 `�t ScheduledTime: 01:30:00
! M� �� ��
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-23
ACT[ON TAI�N:
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Status: In Prog�ress Submitter Has Been �.
Contacted
Date Completed: �,_�)� '''/ Completed by: �`��, �
' I-� � �
��� - �����o- �7
. �Ci#y of Fridley �
Water Department C� �1 f
y 6431 UniversityAvenue NE J � ��
Fridley, MN 55432
763-572-3565
��`"�e hereby authorize the City of Fridtey 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 rnain to the premise and ali irrterior
piumbing. (Per�ity code 402.06) I also hoid the City of Fridley and/its employees haemless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand!am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) �� � � � C,:'
Name: _ ��'�� �Q� Address �� �1��'`�rC. ���L�l,> ���
Phone Number � � ���� " -7 l!� 7 ` � +'�"Date J ` �—1,`"J � `
Signature Witness Signature �
OLD METER#_�"'�� J q V ��
OLD READING ��C� / ,� d
NE4V METER# � l �� � �� �
NEW READING v
E�2T# �� � � 5�l(� �
FRIDLEY CITY CODE
CNAPTER 402.WATER,STORMI WATER ANO SANITARY SEWER
ADMINISTRATION
(ttef Ord No 113,464,565,566,629,638,662,922,988, i144, 1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line conneding#he 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 cannection,and shafl 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 unlaarful to cover
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPA{RS 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 connectio�,the applicant,owner,or occupant or user of such premises shall be tiable 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 charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annualfy by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user Yo 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)