Meter Swap � �
Request Number: 16153
Public Works Division
Service Request
Problem Address: 8191 Ruth Circle Requested By: Eric
Department: WATER Address: No address provided
Problem�ssue: INSTALL AMR METER Phone Number: 952-818-5785
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Scheduled Date: 2017-06- 9 Scheduled Time: 02:00:00 �
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ACITON NEEDED:
Cre�ted by: Beth Ko�drick Date Created: 2017-06-26
ACITON TAKEN:
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Statns: 1n Progress Submitter Has Been r.
Contxeted
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Date Completed: j_ ��G1 1 I� Completed by: �
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� City of Fridley ��� "� b ��
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all ir�terior
plumbing. (Per City code 402.06) 1 also hold ihe C'ity of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj_ � ��� �� V
Name: ���� Address _ � � 1 � I�� �l�',�p
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Phone Number ���`" ���� ���� Date VC y�' 1 `� � 1
Signature ClN� �/" � WYtness Signature
OLD METER# __ � J �(J /� �ll� �
OLD READING `� VV/ / � l �
NEW MEI'ER#_ � I'��� �� /
NEW READING O
ERT# �� I� S I /
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY 5EWER
ADMINISTRATION
(Ref Ord No 113,454,565,565,529,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the ex(sting municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shatl pay a�rmit fee as provided i�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful 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 connection.
8Q2.�6 REPAIRS AND MAINTENANCE TO COAINEC�'10W
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 seroice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such 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. If the property owner
requests maintenance service or repairs be performed by the Gty,the property owner shall be charged for the cos�of the mai�tenance and/or
repairs,inciuding necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicaert,
owner,occupant or user to perPorm standard mairrtenance 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 operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)