Meter Swap ,
�` Request Number: 12809
Public Works Division
Service Request
Problem Addresa: 1660 O�ixlaga St Requested By: Lee Vang
Deputment: WA'IFR Addreaa: 1660 Onond�St
Friclley,MN 55432
Problem/Is:ue: INSTALL AMR METER P6o�e N�ber: 952-923-5190
Sichedule�Dats: 2017-01-18 Sc�ed�dad'iime: 1U:30:QQ
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ACIION NEEDED:Install AMR
Crexted by: Bcth Kondrick I�s�e Cre�t$d: 201'I-01-10
ACTION TAI�N: ,h A
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Date Completed: Compteted by:
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City of Fridley � � �� ! � /
Water Department �
�, • 6431 University Avenue NE � � ').,� ��,S7J�I�
, Fridley, MN 55432
763-572-3566
i/uve hereby authorize the City of Fridley and/or its employees to do what is necessary to
rep{ace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
ptumbing. (Per City code 402.06) 1 afso hold the City of Fridley and/its employees harmless for any damages that may octur while doing this
opeKation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. 1�understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterJ � `� ���✓
Name• ��' v�� address ���� �r�,(�h CL.�f.1�, �
Phone Number t J�'��J^ � 1 1� Date � 1� ��
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Signature Witness Signature " L� �
OLD METER# � v� ` �✓�
OLD READING L'���� L�E./ti-�
NEW METER# 1 1 ,\�J 1��
NEW READING �
ERT# K1��� � I �N'
FRIDLEY ClTY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMiN1STRATION
(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 sewe�line wnnecting the existing munitipal system and any house or butlding for which the
appiication 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 not�ed. It shail be unlawful to cover
any connecting line until an inspection has been made and such connecEion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAfNTENANCE TO CONNECTION
After the initia!cannection fias 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 fine for connection,the appiicant,owner,or occuparrt or user of such premises shall be liabie for all repairs
required to any water line and sewer lines�ecessary for connectio�of the premises from the main to the premises. If the property o+aner
requests maintenance senrice or repairs be performed by the City,the property owne�shall be charged for the costs of the ma(ntenance and/or
repairs,including necessary stseet repairs at a rate set annuaily by an administrative poliry. it shall be the responsibility of the applicant,
owner�oaupant or user to perform standavd maintenance of the sewer service line from the premises to the main includir�g debris dearing or
root cutting and to maintain the water service cucb stop box fos operability and at such height as will ensure that it remains above the finished
�rade of the land or property. (Ref 638,1156.1191)