Meter Swap - Request Number: 12670
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Public Works Division �'"��-'
Service Request
Probtem Address: 330 Osborne Rd Requested By: Todd Seiler
Dep�rtme�: WATER Addreas: 330 Osborne Rd
Fridley,MN 55433
Problem/Isaue: INSTALL AMR METER Pho�Number: 763-843-9485
ScLedWed D�te: 2017-01-21 . Sche�nled Tlme: 08:30:00
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ACIION NEEDED:Install AA�fR
Cre�ed by: Beth Kondrick Date Crested: 2016-12-30
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Date Completed: Completed by:
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City of Fridley (' r, '1 I �,Gd
Water Department � �� �j (
6431 Universityl�►venue NE � �3�;y ����v3
_ Fridley, MN 55432
763-572-3566
UWe hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand tbat the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmiess 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 t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��� � � �
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Name.-_S� � � Address� � )l! �� ���"Q
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Phone Number �'V�� -1� � Date �;�� � 1
Signature Witness Signature ��"'-"�
OLD METER# �� � �-��� /
OLD READiNG l 2� 3 O C-,I(�
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NEW METER#����
NEW READING
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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 municipai system and any house or buildi�for which the
application is made,the ows�er or cantractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shail be not�ed. It shail be unlawful to cover
arry 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 suitabte connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curh stop hox or the sewer lead at the property 4ine or a waler service lead has
been extended to the property line for connection,the applicarrt,owner,or occuparrt or user of such premises shall be liable for ail repairs
required to any water fine and sewer liaes necessary for connection af the premises from the main to the premises. ff 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 annually by an administrative policy. It shall be the responsibility of the applicarrt,
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 seroice curb stop box for operabil'ity and at such height as will ensure that it remains above the finished
grade of the land or p�operty. (Ref 638,1156,1191)