Meter Swap w
Request Num : 15936
Public works Division
Service Request
Problem A+ddress: 8181 Riverview Terr Requested By: Nancy Lillebo
Department: WA1ER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 763-432-5665
Scheduled Date: 201?-07-10 c , Sc6ednled 11me: 08:00:00
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ACTION NEEDED:Wa�. . . �s tt►t��wed.Alocds tvwo I�P�1�aaso�Wi��,�y;-.�,
Created by: Wendy Hiatt Date Crcated: 2017-06-12
AC7ION TAKEN:
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Status: 1n Progress 5abmitter Has Been r
Cont�ted
Date Completed: Completed by: �=
Aours / . /'
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City of Fridley S�%%� (���� �
} Water Departa�aient
' 6439.University Avenue NE
Fridley, MN 55432
763-572-3566
!/we hereby authorize the City of Fridtey and/or its emp4oyees to do what is necessary to
replace the water meter. I understand that the property owner is liabie 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/'rts employees harmless for am/damages that may ocwr while doin�this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIAlG(oid meterJ
Name: Address_ �� �' �`�.r(�1-��N ��
Phone Plumber p�
Signature Witness Signature
OLD METER# 3 3-s�C � LL � �
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�'�� QtA�READING D Q�S.S D
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. _,'NEW METER# �S%�D 7.S�3 5
IVEW READlNG
ERT# 7 2 �"� � 3�� �
FRIDIEK CI1Y 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 arry water of sewer line connecting the existing municipal system and ariy house or building for which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and sha(i pay a�rmit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shali be not�ed It shall be u�ul to cover
any connecting Iine until an inspection has been made a�d wch connection and the work incident thereto has(�en approved by the C�ty as a
proper and suitable connectio�.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connedion has been made to the water senrice curb stop boz or the sewer lead at the property line or a water service tead has
been extended to the property line for connection,the app(icant,owner,or occupant or user of such premises shall be liable for a11 repairs
required to any water Itne and sewer tines necessary for connection af the premises from the main ta the premises. tf the property owner
requests mairrtenance 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 aa administrafive pa4icy. !t shall be the responsibility of the appficant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to fihe main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wit{ensure that'rt remains above the finished
grede af the(and or property. (Ref 638,1156,1191)