Meter Swap ` Request Number: 15361
Pubtic works Division
Service Request
Problem Address: 7104 Ri�nerwood Dr Requested By: Loren
Departmtnt: WA1ER Addres:: No a�ress provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-1383
Scheduled Date: 2017-05-17 Schednle�13me: 11:OU:00
�'ft
ACTTON NEEDED:
Created by: Beth Ko�rick Date Cre�ed: 2017-OS-15
A NT ,
ClIO AKEN•
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Status: In Progress 5sbraitter Has Been r
Contacted
Date Completed: Completed by: \�` , _
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� City of Fridley �j' r� '� ,J 2 Z ��a � /
Water Department
6431 University Avenue NE �h..� {(�b ?�,
Fridiey,MN 55432 �� �C
763-572-3566
f/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understa�d that the property owner is liable for the water line from the main to the premise and al{interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/Pts employees harmtess for any damages tfiat may ocwr whife doing this
operatton. This to include,but not limited to valves.piping,walls,floors or the curb stop box and service line. in undersCand t am also required
to obtain a permit prior to any work,if necessary.
FNVAL METER READiW6(o1d meter) � ✓ � �� C `�
wame: 1�(91r''Pih �►ddress � ���'�' �-��1��t�0�1(� �r.
Phone Number ��ll�J �� `� ���� Date � `- � { � F \
Signature Witness Signature
OLD METER# ���J� � ( �
OLD READING � �� I ✓��
NEW METER# ���YJ� �3 �
NEW READING `�
ERT#_ � � 1 � �p� t �
FRIDLEY CITY CODE
CHAP7ER 402.WATER,STORM WATER AND SANITARY 5EWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buildin,g for which ifie
application is made,the owner or contractor shail 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 connedion has been made,the Water and Sewer Department shall be notified. It shali be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been appro�d by the City as a
proper and suitable connection.
4U2.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop boK or the sewer lead at the property{ine or a water service lead has
been extended to the property line for connectton,the applicant,awner,or occuparrt or user of such premises shaii be liable for all repairs
required to any water line and sewer lines necessary for connection of tfie premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the C'�ty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualty by an administrati+re poliry. It shall 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 inciudiog 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 finished
grade of the land or property. (Ref 638,1156,1191)