Meter Swap - • Request Number: 12898
Public Works Division
Service Request
Problem Address: 7619 Meadowmoor Dr Requested By: Waiter
Depu�tme�: WA'lER Addreas: No address pro�ckd
Problem/Isaue: INSTALL AMR METER Phoae Number: 763-783-1028
Schedule te: 2017-02- Sc6edaled 11tne: 08:0�:00
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ACIiON NEEDED:
Created by: Wendy Hiatt Date Crented: 2017-01•17
ACTI N TA[�N� , ,
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-Ststus: 1n Progress Submittor Has Been �.,
Coatacted
Date Completed: Compieted by:
2-�,- 1� 1 G�'
�rty�r rr�aoey
Water Depart�nent ��� �Z��
6431 University Avenue NE
Fridley,MN 55432
' 763-572-3566 ; � �— j I� 7 7 L1._L�'�
•�/We hereby authorize the C'rty of Fridley and/or its empioyees to do what is necessary to
replace the water meter. !understand that the property owner is liable tor the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) i also hold the C'rty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limi#ed to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to arry wortc,if necessary.
FIt1iAL METER 1 G(oid meter) ��� � �O
Name• Address �� r
Phone Number����✓�� Date Z� ��~" �
Signature �1 Witness Signature
OLD METER#� �� �� ���
OLD READtNG � � �"""v
NEW METER#��� �� �
NEW READtNG �
ERT#_ 1 `��� i��
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNlSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 AERMIT FEE
Prior to constructing or repair of any water of sewer tine con�ecting the existin�municipal system and arry hause or buildir�g for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permitfee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be natified. it shall be unlavrfui to cover
any connecting line until an ir�spection has been made and such connection and the work inaderrt thereto has been approved b�the C�ty as a
proper and suitable connection.
402.06 REPAIRS AWD MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the pmperty line or a water senrice lead has
been extended to the property line for connection,the applicarrt,owner,or accuparrt or user of such premises shali be liabie for all repairs
required to any water line and sewer li�es necessary for con�edion of the premises from the main to the premises. If the property orrner
requests maintenance service or repairs be performed by the City,the properLy owner shail be cfiarged for the�of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administratixe policy. it shaii be the responsibility of the applFcar�t,
owner,occupar�t or use�to perform standard mair�tenance of the sewer senrice line from the premises to the main i�ludi�debris dearing or
root cutting and to mair�tain the water service curb stop box for operabitity and at such height as wilt ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)