Meter Swap . Request Number: 14675
Public Works Division
Service Request
Problem Address: 1516 S Timber Ridge Requested By: Matthew Rolf
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-502-1508
Scheduled Date: 2017-04-20 Scheduled 1ime: 02:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-13
ACTION TAI�N:
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by:
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City of Fridley
' Water Department
6431 University Avenue NE
Fridley,MN 55432
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 irrterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may o�ur while doing this
operetion. This to include,but not limited to valves,piping,walls,flaors o�the aab stop box and service line. In undenrtand 1 am afso required
to obtain a permit prior to any work,if necessary.
FINAL METER READtNG(old meter) � � � � �� O
Name: �� 1Y�C.W �b�� Address t � � � � �� �Q"L
Phone Number� V�� �f `�V�pate L` l�-� '� "�
Signature Witness Signature
OLD METER# � � I � �) O I O
OLD READING �`�� �� �
NEW METER# _ `�t"! 20 �Z� ,
NEW READING �
ERT# J�ZL�� � �
fR{DLEY CfTY 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 any house or butlding for which the
application is made,the owner or contrector shaft be required to obtain a permit for such connection,and shall pay a permR fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any wnnecting line u�il an inspection has been made and such connection and the work incident thereto has been approved by the Uty as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After tfie initial connection has been made to the water service curb stop box or the sewer lead at the p�operty line or a water service lead has
been extended to the property line for connection,the applicairt,owner,or occupant or user of such premises shall be liable for all repairs
required to any water li�e 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 City,the property owner shall be charged for the costs of the maintenance and/or
repain,including necessary street repairs at a rate set annually by an administrative poliry. It shail 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 including debris dearing 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 tinished
grade of the land or property. (Ref 638,1156,1191)