Meter Swap � Request Number: 16029
Public Works Division
Service Request
Problem Address: 214 Pearson Way Requested By: Jolm Osansky
Dep�rtment: WATER Address: No address provi�ed
Problem/7ssue: INSTALL AMR METER Phone Nnmber: 612-708-2492
Schednied Date: 2017-06-26 SchedWed 13me: 07:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Crested: 2017-06-16
ACTION TAKEN:
_.___........................_........................��S�'1.�.._._. ............. ...._..._._ ..._�_________._.__.___._..._...__...._��
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Status: In Progress Submitter Aas Been r,
Contacted
Date Completed: Completed by:
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' �ity of Fridley � ,cL ����
• Water Departrnent -FF-
,,, 6431 University Avenue NE
Fridley, MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understaad that the property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) I also hold the Crty of Fridley andrts employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and seroice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� ��
Name: Address �1[ ,—t ���"�-�� �`�
Phone Numb r Date 1p—a�p�-(
Signature Witness Signature ,_
OLD METER# i � �
OLD READING _ `�� y �p O(1
.
NEW METER# 'i/ l�� �j�j��
NEW READING �
ERT# / ��� � �l � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAPIITARY 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 conneding the existing municipai system and any house or building far which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be notified. It shait be unlawful to cover
any connecting tine untif an inspection has been made and such connection and the woric incident thereto has been approved by the City as a
proper and suitable connection.
$02.06 REPAIRS AND MAIN7ENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service tead has
been extended to the property Ilne for connection,the appiicar�t,owner,or occupant or user of such premises shali be ilable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the propert�r owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rete set annually by an administrative policy. It shall be the responsibility ofi the applicaM,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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