Meter Swap >
' Request Number: 15273
Public Works Division
Serviee Request
Problem Address: 7110 Riverwood Dr Requested By: Ken
Department: WATER Address: No a�ess provided
Problem/Issuc: INSTALL AMR METER Phone Number: 571-6102
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Scheduled e• 2017-OS-12 Scheduled'Rme: OS:00:00
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AC"IION 1�iE�EDED:
Createdb�: WendyHiatt Ih�teCrs�ed: 2Q1?-OS-11
AC1IOPi T.4l�N:
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Status: In Progress Sabmitter Hns Beea �..
Cortactcd
Date Compieted: Completed by:
S- I 2-l-1 � (°`r'
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�16 � 52210 ���� �
` City of fridley `�� ��'���;���
Water Departrnent � U
• 6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize tfie City of Fridley and/or its empioyees to da what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and alt ir►terior
piumbing. (Per C'rty code 402.06) I also hold the City of Fridley and/its employees harmless for amt damages that may oaur while doing this
operatio�. This to include,but not limited to vahres,piping,wafis,fioors or the curb stop box and seroice line. In understand I am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(old meter) /�� ✓�v�1�
Name• �'—�- ` Address _� ` ` O ����` �,/V(.Z� J��
Phone Number ���� l'J I�� Date �r �� ��
Signature —""'—'~ Witness Signature �
OLD METER# EJ {�� 1 �'�J�
OLD READING �J (,V ��
NEW METER# �� r v � C� �q
NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AIND SANITARY SEWER
ADM1NfSTRATiON
(Ref Ord No 113,464,565,566,629,638,652,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing munkipal system and any house or buiiding fo�which the
application is made,the owner ar 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 asx!Sewer Department sfiall be notiFied. tt shaii be unlawful to cover
any 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 cannection.
402.06 REPAIRS AND MAINTENANCE TO COPiNECT10N
After the initial connection has been made to the water senrice curb stop box or t6e sewer lead at the property line or a water senrice lead has
been extended to tfie property line for connection,the applicar�t,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 prop�rty owner
requests maintenance service or repairs be periormed by the City,the property owner shall be charged for the cests of the mairnenance andior
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shali be the responsibility of the applicant,
owner,occupant or user to perForm standard maintenance 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 operabil'�ty and at wch height as will ensure that it remains above the f�nished
grade of the land or property. (Ref 638,1156,1191j