Meter Swap Request Number: 15597
Public works Division
Service Request
Problem Address: 7133 Rirervwood Dr Requested By: Katlileen
Department: WATEIi Addreas: No�ress provi�d
Probtem/Issue: IN5TALL AMR METER Phone Number: 571-8451
Scheduled e: 2017-06-09 Scheduled'Rme: 09:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Cresited 2017-OS-26
ACIION TAI�N:
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Status: In Progress Snbmitter Has Beea r
Contacted
Date Completed: Completed by:
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,
City of Fridley
31 � - �2�72�`4/
Water Department �� , // //}
6431 University Avenue NE ��lO< v
Fridley,MN 55432
763-572-3566
��"Ve hereby authorize the C'ity of Fridley and/or its emptoyees to do what is necessary to
reptace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) I also hold the C"rty of Fridiey andrts empfoyees fiarmiess for any damages that may ocaur while doing this
operation. This to include,but not limited to vatves,pipiag,walls,fifoors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to ar►y work,if�ecessary.
FINAL METER READIAfG(oid meter) � �� 1���
Name:�IaM��`'�TN� Address ���� nl"'� r.�$ �
Phane Number �� 1� c� 1 �, �j— �,� ��
�Si n Witness Signature 1�
OI.D METER# J� �� �� �
OlD RfADiNG_�k��� ���
fYEW METER# �-1����� �
NEW READING�
ERT#_ � L�����'�t
FRtDLEY ClTY CODE
CHAP'TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,556,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor sha(1 be required to obtain a permit for such connection,and shaU pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shali be untawfui to cover
any connecting line until an inspettion has been made and wch connection and ihe work incident thereto has been approved by the City as a
proper and witable connection.
602.06 REPAIRS APiD MAINTERIANCE TO CONNECTION
After the initial connectton has been made to the water service curb stop box ar the sewer{ead at the property tine or a water servke lead has
been extended to the property line for connectto�,the applicarit,owner,or occuparit or user of such premises shall be liabie for ati repairs
required to any water line and sewer lines necessary for connection af tfie premises from the main to the premises. ff the property owner
requests maintenance service oc repairs be performed 6y the tity,the property owner shali be charged for the costs of the mairrtenance a�d/o�
repairs.including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main inctuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j