Meter Swap Y
Request Number: 15282
Public Works Division
5ervice Request
�-R- Problem Addrea�: 7120 Ri�erview Terr Requested By: Latry Johoson
1i�� Department: WATER Atldreas: No address provided
� Problem/Iasue: IN5TALL AMR METER Phone Number: 572-0451
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�'' Scluduled Date: 2017-OS-15 Sc6eduled 1lme: 08:30:00
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AC"IION NEEI)ED:
Created by: We�y Hiatt Date Cre�ed; 2U 17-OS-I 1
AC"IION T .
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Status: In Progress Sabmitter Ha�Bcen r
Contacted
Date Completed: Completed by:
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� City of Fridley ) � � �v
Water Department � / �� ��
6431 University Avenue NE ��� � � �y
Fridley,MN 55432 �j
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. i understand that the property owner is liabie for the water line from the main to the premise and all ir�terior
piumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur arhile doing this
operation. This to include,but not limited to valves,piping,waNs,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 READING(oid meter) �� � `� � �
Name• Address l l �V 1�1��11� `"��
Phone Wumber_ �% O_ `�1 p��— ��" ` 1
Signature Witness Signature
OLD METER# ����� L�
OLD READING L� I ���
NEW METER# ���`� �� " �
NEW REA �
ERT# l ` I ��Ov �
FRID�.EY CITY CODE
CHAPTER 402.WATER,S70RM 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 construding or repair of any water of sewer line connecting the existing municipal rystem and arqt house or building fo�which the
application 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 DepartmeM shall be notified. It shall be unlawful to cover
a�y connecting li�e 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 wnnedion.
402.06 REPAIRS AND MAIM'ENANCE TO CONNECTION
After the initiai cannection has 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 line for connection,the appiicarrt,owner,or occuparit ar user of wch premises shall be 1lable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tF the property owner
requests meintenance service or repairs be perFormed by the City,the property owner shail be charged for the costs of the mair�tenance and/or
repairs,inc�uding 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)