Meter Swap .
Request Number: 15380
Public Works Division
Service Request
Problem Address: 7190 Riverview Ten Requested By: Nicole
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-432-2248
Scheduled Date: 017-OS-19 Scheduled 1lme: 08:00:00
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ACIION NEEDED:
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\���� Created by: Wendy Hiatt Dnte Crented: 2017-OS-16
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ACTION TAI�N:
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Status: in Progress Submitter Has Been r
Contacted
Date Completed: �,� I(�,� ��� Completed by: ����
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City of Fridley �/(�—5�� G'7v ��
Water Department �
6431 University Avenue NE �� 4�'���
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. I understand that the property owner is liabie for the water line from the main to the premise and ail ir�terior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/'rts employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop boz and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � v � � � �
Name: 1`���•O�� Address � I !. � ��1�`U��W ��1�
Pho�e Number � �Z— "1�a� —�- ! � Date �� 1 1 � � 1
Signature Witness Signature
OLD METER# � C�V ( V�
OLD READING ` ` ✓�� � U
NEW METER# � 1 v���� �
NEW READING V
ERT# � � I � I liJ ��
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 wnstructing or repair of any water of sewer line wnnecting the e�dsting municipal system and any house or�ilding for 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 DepartmeM shall be notified. It shail be unlawful to cover
any 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 suitabie connection.
402.06 REPAIRS AWD MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service wrb 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 applicarrt,owner,or occupant or user of wch premises shall 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. ff the property owner
requem maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. it shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of tfie 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�nished
grade of the land or property. (Ref 638,1156,1191)