Meter Swap Request Number: 15275
• Pubhc works Division
Service Request
Problem Address: 7130 Ri�erview Terr Requested By: Joe Frederick
1?epsrtmeet: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phoae Number: 612-704-6T74
Scheduled Date: 2017-OS-15 Sc6eduled 1lme: 07:30:00
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ACIION NEEDED:
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Created by: Beth I�oc�ick Date Created: 201 T-OS-ll �'���
ACTION TA�EI�s
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Status: In Pro�ess Submitter Has Beea r,
Co�uted
Date Completed: �� I� �� Completed by: \ �fL�
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City of Fridley ��y
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• Water Department �D � �O Jiv�
_ 6431 University Avenue NE � �
Fridley,MN 55432
763-572-3566
��We hereby autlw�ize the Ctty of Frid{ey andjor its empfoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabie for the water line from the main to tfie premise and afi irKerior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its emptoyees harmless for any darr�ages that may occur whife doing this
operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop boK and service li�. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) 4 ��`+� ��
Name: ��' '� ���C�1���/� Address � ` JV F��cU'�•1��'UE(U' ��1/�.
Phone Number �(�'� �V� —l���� Date � ~ �� ^ L �
5ignature Witness Signature
OLD METER# �J ���G�
OLD READING ���/��N
NEW METER# 1 1 O�� 1 1 I
NEW READING �
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ERT# � � 1� 1 J �4D
fRIDLEY CITY CODE
CNAPTER 402.WATER,STORM WATER AND SANRARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to tonstructing or repair of any water of sewer line conneding the existing municipal system and any house or building for which the
apptication is made,the owner or coritractor shall be required to obtain a permit for such�n�ection,and shal{pay a permit fee as prov;ded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notiRed. tt shall be unlawful to cover
any connecting lioe until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
40Z.06 RfPAIRS AMD MAINTENANCE TO CONNECTiON
After tfie initiaf connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property fine for connection,the applicant,owner,or oaupant or user of such premises shali be liable for all 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
reguests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the malntenance and(or
�epairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including 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 finished
grade of the land or property. (Ref 638,1156,1191)