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FRIDLEY
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Old Meter Number ��� I�
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Replacement Reading��
Replacement Make
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City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(?63)572-3566
��We hereby authorize the City of Fridfey and/or its
err►ployees to do what is necessary to repface the water meter. t understand that the property owner
is liable for the water tine from the main to the premise and all interior plumbing. tPer City code
402.06) 1 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,walis,floors or the curb
stop box and service line. f understand f am also required to obtain a permit prior to any work,if
necessary. �
Final meter readin old mete� �� `-'" � ��
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Name: Address: " I �� ` ��� �
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Phone Number: Date: �
Signature: �
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,SYORM WATER,AND SANITARY SEWER.
ADMfNISTRATION
{Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existir►g municipa{system and any house
or building for which the appiication 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 11 of this Code. After such cpnnection has been
made,the Water and Sewer Department shall be noCified. It shatl be uniawful to cover any connecting line untit an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabte connection.
402.06. 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 or sewer lead has been extended to the property line for connection,the applitant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. ff 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 repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant ar user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing or root cutting and t6 maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
,
Request Number: 8605
Public Works Division
Service Request
Problem Address: 417 57th Place Requested By: Janine
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-221-9020
Scheduled Date: 2014-07-25 5cheduled'ISme: 08:30:00
ACTION NEEDED:'Ilu�n off water for repair.***BII,L****
,..,�,�
Created by: Wendy Hiatt Date Created: 2014-07-25
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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