Meter Swap y Request Number: 16118
Public works Division
Service Request
Problem Address: 8012 Ruth St Requested By: George Klingenberg
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-783-3538
Scheduled Date: 2017-06-26 Sc6eduled 1ime: � 01:00:00
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ACTION NEEDID:
Created by: Wendy Hiatt Date Created: 2017-06-23
ACTION TAI�N:
._ _._�.___..__._...... ....___l._N�`�A��_.A�N'�..........._ . ..___ ___.___----
Status: In Progress Submitter Has Been r
Contncted
Date Completed: Completed by:
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City of Fridley �
' Water Department �� (f�!/O
6431 University Avenue NE �
Fridiey, MN 55432
763-572-3566
1/we hereby authorize the City of Pridiey and/or its empioyees to do what is necessary to
repiace the water meter. i understa�d that the property owner is liable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06) I also hold the City of Fridiey and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service{ine. {n understand 1 am also rcquired
to obtain a permit prior to any work,if necessary.
FIWAL METER READiNG oid met r '�� � 40
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Q, �] � p�- �
Name: Address l)��C/� 1�V (� �
Phone Number p�e 6—���'�
SFgnature Witness Signature
OLD METER# I ��� ` � ��
OLD READING ) LI �''1 !��
NEW METER# 1 -t �� �3 p�7 !
NEW READING S�
ERT# ��afX� � �
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 repair of any water of sewer line connecting the existing municipal system and arry house or buiWing for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li 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 connectio�.
�02.06 REPAIRS AND MAINTENANCE TO CONNECTION
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 has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Itable for ali repairs
required to any water line and sewer{ines 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 City,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shail be the responsibility of the applicant,
owner,occupant or user fio perform standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrtain the water service curb stop box for operabitity and at wch height as witl ensure tT1qt it remains above the finished
grade ofi the land or property. (Ref 638,1156,1191)