Meter Swap i
� Request Number: 16094
Public Works Division
Service Request
Problem Address: 7130 Riverwood Dr Requested By: Jen Coehlo
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-329-8267
Se6eduledDate: 201?-06 7 5chednledTime: 0130:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-06-21
ACIION TAI�N: ._
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Status: In Progress 5nbmitter Has Been �..,
Contacted
Date Completed: Completed by:�al/ �p
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y �l�����7 ld ���
Ciiy of Frid9ey ��C%%� �O
� Water Department ��
6431 lJniversity Avenue NE
Fridley,MN 55432
763-572-3566
��'iVe hereby authorize the C�ty of Fridtey and/or its empioyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the wate�line from the main to the premise and all iriterior
plumbing. (Per City code 402,06) i also hold the City of Fridley and/its employees harmless for any damages that may ocaur while doing this
operation. 'fhis to indude,bui not limited to valves,pipin�walis,floors or the arb stop box and service line. In understand I am aiso required
to obtain a permit prior co any work,if necessary.
FiNAL METER READIN6(old meter) � � ���`� v
Piame:� �l' 1 ���`�U Address t- �� � r'"Y ��
Pho e Number 1 � ��� " � p� lf�" p��' � 1
Signature Witness Signature
OLD METER# � V�ilv"� / � �
O!D READiNG L C.Jd��U�
NEW METER# {� l������ �
NEW READIPtG D
E�-r# ��a2�-�l� 5�
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 constructing or�epair of a�ry water of sewer line connecting the existing municipat system and any house or building for which the
application is made,fihe owner or contractor shali be required to obtain a permit for such connectivn,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be natified. It sha41 be unlawEul to cover
ariy conc�ecting line until an inspection has been made and such connection a�d the work incident thereto has been approved by the City as a
proper and suitable tonnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop boz or the sewer{ead at the property line or a water service tead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises sha4l be liable for all repairs
required to any water line and sewer lines necessary far connedion of the premises from the main to the premises. If the Qroperty owner
requests mairnenance service or repairs be performed by the City,the property owner shall be charged for the cosCs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative paliry. It shall be the responsibility of the applicant,
owner,occupant or user fio perform standard rnairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and#o mairrtain 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)