Meter Swap • Request Number: 14347
Public works Division
Service Request
Prot�em Address: 1245 Norton Ave Requested By: Stuart Jones
Department: WA1ER A�ires:: No addresa provided
ProW em/Issue: INSTALL AMR METER Phoae Number: 763-614-�998
Scheduled e: 2017-04-OS Schednled 1lme: 10:00:00
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AG7ION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-03-28
ACIION TAKEN:
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Statas: In Progress Sabmitter Haa Bean r
Contscted
Date Completed: Completed by:
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City of Fridiey ✓
Water Department
5431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or iLs employees to do what ts necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main!o the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may c�r 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 I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)�l� �� ��`�
Name:��f�l)'��c `���y� Address ,��'\ `� V"� ��
Phone Number�����, Y�� i 1 � Date ���� �
Signature Witness Signature
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OLD METER# a��� l���
OLD READING v l� I � 1��
NEW METER#_`'� I 2iV I���
NEW READING �
ERT#_� ZZ� �� � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiidtng for which the
application is made,the owner or wrrtractor shall be required to obtain a permit for such�nnection,and shall pay a permit fee as prrnrided in
Chapter 11 of thts Code. After such connection has been made,the Water and Sewer Department shali be not�ed. It shall be unlawfui to cover
any wnnecting tine until an inspection has been made and such connection and the work incident thereto has been appro�ned b�the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water se�ce lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for ail 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 wsts of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibilPty of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the matn includtng 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�nished
grade of the land or property. (Ref 638,1156,1191)