Meter Swap � • �
Request Number: 13128
Public Works Division
Service Request
Problem Addresa: 1239 Norton A�t Requeated By:
Department: WA'IER Address; No address pcovided
Probiem/I�sue: INSTALL AMR METER Phone Nnmber:
Scheduied Date: 2017-01-27 Schednled 1lme:
AC'IION NEEDED:
Created by: Wendy Hiatt Date Crerted: 201?-01-27
ACTION TAI�N:
Stxtus: 1n Progress Snbmitter H�Been r,
Contacted
Date Completed: Completed by:
, City of Fridley � �
, Water Department ��j���S
6431 University Avenue NE
Fridley,MN 55432 �(-� �j'�J���`'
763-572-3566
1/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 interior
plumbing. (Per C"ity code 402.06) I also hold the City of Fridley and/its employees harmless for any 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 1 am also required
to obtain a permit prior to aay work,if necessary.
FINAL METER READING(old meter) � ` � ��O
Name: Address ��� ` �
Phone Number Date ��� r ��
Signature �tness Signature
OLD METER# � � � ��U I � �
t` Cr-��� �
OLD READING �� � ��\) ����
�,[. .1 '"'�
NEW METER# - r.�'�` �� Y
�ifW'�EADING V'
ERT# ���� _1����;;
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
;
Ir
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and a�ry house or Iwilding for which the
application is made,the owner or wntractor shall be required to obtain a permit for such connection,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 not�ed. 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.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION j
i
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 service lead fias �
been extended to the property line for connection,the applicant,owner,or occupaM or user of such premises shall be liabie 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 ow�er
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs af the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. it shail be the responsibility of the applicarrt,
owner,oaupant or user to perform standard maintenance of the sewer service line from the premises to the main including delxis ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it rema(ns above the�nished '
grade of the land or property. (Ref 638,1156,1191)
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