Meter Swap � Request Number: 12675
Public Works Division
Service Request
Problem Address: 7517 Uni�rsity A� Requested By: Geraid Waddiek
Department: WATER Address: No addreas provickd
Problem/Issue: INSTALL AMR METER Phone Number: 763-?84-2198
Sc6e ed Dat • 2017-01-OS Schednled 1ime: 08:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Datc Created: 2016-12-30 �
ACTION TAKFd�:
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5tatus: In Progress Submitter Has Been r,
Coatacted
Ih�te Compieted: Completed by:
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City of Fridley � � �
Water Department � (� �
6431 University Avenue NE
` Fridley, MN 55432 �•� t � ��-�� �`
763-572-3566
i/we hereby authorize the City ofi Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and a0 interior
plumbing. (Per City tode 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. 7his to include,but not limited to valves,piping,walis,flooss or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �v `"�'��� � �
Name:_ V�@.I�G/.l � l,A��u V(i� Address �� 1 / ��� �J� T�`�'e`
„�,: - Phone Number �" / � (_ � `j � � — 'j�— �.
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�_ ' :��x::f Signatur Witness Signatuce
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OLD METER# � I -i a'�L�, ��
OLD READING � ��� �� U
NEW METER# �� � ` �� J�
NEW READING
ERT# � ��� ,
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 PERMlT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buildi�for wMch the
appllcation is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in�
Chapter 11 of this Code. Afte�such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawFul to cover
any connecting line until an inspection has been made and such wnnection and the worlc inddent thereto has been approved by the Ciry as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial wnnection has been made to the water service curb stop box or the sewer lead at the property Itne or a water service lead has
been extended to the property tine for connection,the appiicaM,owner,or occupartt or user of such premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connection of the p�emises from the mai�to the premises. If d�e property owner
requests maintenance service or repairs be performed bq the City,the property owner shall be cF�arged for the costs of the mairitenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry, ft shail be the responsibitity of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and tv maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grede of tfie land or property. (Ref 638,1156,1191)