Meter Swap R
�- Request Number: 16056
Public works Division
Service Request
Problem Address: 7102 Riverw�od Dr Requested By: Johanna Berg
Department: WA1ER Address: No address provided
ProWem/Isaue: INSTALL AMR METER Phone Number: 763-572-9656
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Scheduled Date: 2017-06-23 Sc6eduled T3me: 07:00:00
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ACTIONNEEDED:����'i�rw�a�t�a����.
Created by: Wendy Hiatt D�te Created: 2017-06-19
ACTION TAI�N:
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Status: In Progress Snbmitter Has Been r
Co�acted
D�te Completed: Completed by:
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. City of Fridley /j��
• Water Departrv�ent J l� (� '���
6431 University Avenue NE
Frid{ey,MN 55432
763-572-3566
��1Ye hereby authorize the City of�ridley and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the properly owner is liable for the water line from the main to the premise and alt ir�terior
plumbing. (Per City code 4�2.06) t alsa hold the City of Fridiey and/'rts empfoyees hacmless for any damages that may occur while doing this
operation. This to include,but not limited ta valves,pipin�wal(s,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to arry wor&,if necessary.
FINAL METER READ(PIG(oid meterJ � � ���`Z. �
wame: �►ddress � ���-- �� �/1rVl/D d►C� ��,
Phone!Y er Date
Signatu e v ` r W/'itness Signature
OLD METER#__ _ l� � C f���_
OLD READING G���� �l C�
NEW METER# L� T 3 S-S_C��6
NEW READING � �
E�#�_�( a 3 7 �6
FRIDLEY CITY CODE
CHAPTER 4�D2.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATlON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,I191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
appliption is made,the owner or contractor sfiali be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlavrful to cover
any connecting line 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 connectioo.
402.06 REPAIRS AND MAtMTElYANCE TO COAINECTIOAI
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water serviae lead has
been extended to the property line for connection,the applicarrt,owner,or occuparrt ar user of such premises shall be liabie for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property awner
requests maintenance senrice or repairs be performed by the Crty,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annua4ty by an administrative policy. it shall be the responsibitity of the applirarrt,
owner,occupant or user to perForm standard mair�tenance of the sewer senrice line ftom the premises to the main including debris clearing or
root cutting and to maintain the water service wrb stop box for operabii'rty and at such height as will ensure#�at it remains above the finished
grade of the land or property. (Ref 638,1156,1191)