Meter Swap � Request Number: 12692
Public Works Division
Service Request
Problem Ad�dress: 7400 Tempo Ten Requested By: Jason Kuiper
Department: WA1ER Addresa: No address provided
ProMem/�sne: 1NSTALL AMR METER Phone Nnmber: 612-518-1200
Sche 17-Ol-OS Sc6edaled 1lme: 01:00:00
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ACITON NEEDED:
Created by: We�y Hiatt Date Created: 2017-Oi-03
ACiION TAI�N: � i
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St�: Jn Progcess Snbmitter Haa Beee r..
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Date Completed: Coa�pleted by:
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City of Fridley �r.� I(��]�
Water Department U �� �
6431 Uniuersity Avenue NE ' ��;�� ���
Fridley,MN 55432 � �"' �
� 763-572-3566
�/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 liabie for the water line from the main to the premise and all iriterior
plumbing. (Per Gty code d02.06) I also hold the City of Fridley andJits employees harmless for any damages that may otcur white doing this
operation. This to include,bufi not limited to valves,piping,waiis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old et r) Y�' � � �
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1S,/5ignatu IM�tness Signature /
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NEW METER# �� � ` �� b �
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FRIDLEY CITY CODE
CHAPTER 4d2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144.1156,1191)
4U2.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa(system and arry house or buildir�for which the
application is made,the owner ar cornractor shaN be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch tonnection has been made,the Water and Sewer Oepartmertt shali he noti�ed. It shatl be unlawFul to cover
any connecting line until an inspection has been made and wch connection and the work�naderrt thereto has been approved by the City as a
proper and suitable connection.
A02.06 REPAlRS 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 Itne or a water senrice Iead has
been extended to the property line for connection,the applicant,owner,or accupant or user of such premises shail be IiaWe for all repairs
requlred to any water line and sewer lines necessary for connection of the premises from the main to the premis�s. If�e property owner
requests mair�tenance service or repairs be pe�formed by the City,the property owner shali be charged for the rn�of the maintenance and/or
repaic�s,including necessary street repairs at a rate set annualty by an administrative poliry. It shall be the responsibility o#the applicaM,
owner,occuparrt or user to perform standard mairrtenance of the sewer service line from the premi�s to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. {Ref 538,1156,3191)